NPTE - Open/Close Packed Positions
Distal radioulnar (forearm)
Rest - 10 degrees supination Close - 5 degrees supination
Knee
Rest - 25 flexion Close - full extension and slight ER
Hand - MCP
1st MCP rest - slight flex 1st MCP close - full ext 2-5 rest - slight flex; UD 2-5 close - full flexion
Toes - MTP
Open - Neutral (10 ext) Close - Full extension
Hand - Carpometacarpal
Open - midway between flex and ext Close - full opposition
Hand - IP
Rest - PIP: 10 degrees flex DIP: 30 degrees flexion Close - Full extension
Hip
Rest - 30 degrees flexion, 30 abduction, slight ER Close - Ligamentous - full extension, abduction, and IR Bony - 90 flexion, slight abduction and slight ER
Humeroulnar (elbow)
Rest - 70 degrees flexion and 10 degrees supination Close - full extension and supination
Proximal radioulnar (forearm)
Rest - 70 degrees flexion and 35 degrees supination Close - 5 degrees supination and full extension
Tarsometatarsal
Rest - Midway between sup/pron Close - Full supination
Subtalar
Rest - Midway with 10 degrees PF Close - Full inversion
Midtarsal
Rest - Midway, 10 degrees PF Close - Full supination
Toes - IP
Rest - Slight flexion Close - full extension
Humeroradial (elbow)
Rest - full extension and supination Close - 90 degrees flexion and 5 degrees supination
Talocrural (ankle/foot)
Rest - mid inversion/eversion and 10 degrees PF Close - full dorsiflexion
Hand - trapeziometacarpal
Rest - midway between flex/ext and midway between abduction and adduction Close - full opposition
Radio/ulnocarpal
Rest - neutral with slight ulnar deviation Close - full extension with radial deviation
Hand - Midcarpal
Rest- Neutral with slight flexion and ulnar deviation Close - Full extension
Glenohumeral
Resting - 55-70 degrees abduction, 30 degrees horizontal adduction, neutral rotation Close - Maximum abduction and ER
Acromioclavicular
Resting - arm resting by side Close-packed - arm abducted 90 degrees
Sternoclavicular
Resting - arm resting by side Closed-packed - arm maximally elevated
Vertebral
Resting - midway between flexion and extension Closed-packed - maximal extension
