Upper Extremity Close/Open pack positions

Radiocarpal Joint Close-packed

Extension

Radiohumeral Joint Open-packed

Extension and forearm supination

Interphalangeal Joints Close-packed

Full extension

Ulnohumeral Joint Close-packed

Full extension and maximum forearm supination

Carpal Metacarpal Joint Close-packed

Thumb: full opposition Fingers: full flexion

Metacarpophalangeal Joints Close-packed

Thumb: full opposition Fingers: full flexion

Carpal Metacarpal Joint Open-packed

Thumb: midway between abduction/adduction and flexion/extension Fingers: midway between flexion/extension

Distal Radioulnar Joint Open-packed

10 degrees supination

Distal Radioulnar Joint Close-packed

5 degrees supination

Proximal Radioulnar Joint Close-packed

5 degrees supination

Glenohumeral Joint Open-packed

55 degrees abduction and 30 degrees horizontal adduction

Proximal Radioulnar Joint Open-packed

70 degrees flexion and 35 degrees supination

Ulnohumeral Joint Open-packed

70 degrees flexion with 10 degrees forearm supination

Glenohumeral Joint Close-packed

90 degrees abduction and full external rotation or Full abduction and full external rotation

Acromioclavicular Joint Close-packed

90 degrees glenohumeral abduction

Radiohumeral Joint Close-packed

90 degrees of elbow flexion and 5 degrees supination

Acromioclavicular Joint Open-packed

Arm at the side

Sternoclavicular Joint Open-packed

Arm at the side

Sternoclavicular Joint Close-packed

Maximum shoulder elevation

Radiocarpal Joint Open-packed

Neutral with slight ulnar deviation

Interphalangeal Joint Open-packed

Slight flexion

Metacarpophalangeal Joints Open-packed

Slight flexion