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