Open and Closed Packed Positions

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Subtalar joint open packed position:

Foot and calcaneus in neutral

Subtalar joint closed packed position:

Midfoot in supination

Glenohumeral joint closed packed position:

Shoulder abduction and ER

Distal Radio-ulnar joint closed packed position:

elbow bent with 0-5 degrees of supination

Radiohumeral joint closed packed position:

elbow flexed to 90, forearm supinated 5 degrees. "brachioradialis"

Proximal Radio-ulnar joint closed packed position:

elbow straight with 5 degrees of supination

Ulnohumeral joint closed packed position:

full elbow extension

Radiocarpal joint closed packed position:

full wrist extension and radial deviation

Iliofemoral joint closed packed position:

hip extended with internal rotation

IP joint closed packed position:

joint in 90 degrees of flexion

MCP joint closed packed position:

joint in 90 degrees of flexion

Tibiofemoral joint closed packed position:

knee fully extended with ER "screw home position"

Talocrural joint closed packed position:

maximum dorsiflexion

Glenohumeral joint open packed position:

-55 degrees of shoulder abduction -30 degrees of shoulder horizontal adduction -"scaption"

Distal Radio-ulnar joint open packed position:

-Elbow in 70 degrees of flexion -Forearm in 10 degrees of supination "elbow bent, slight palm up"

Proximal Radio-ulnar joint open packed position:

-Elbow in 70 degrees of flexion -Forearm in 35 degrees of supination "elbow bent/palm tipped 1/2 way up"

Iliofemoral joint open packed position:

-Hip in 30 degrees of flexion -Hip in 30 degrees of abduction -Hip in slight external rotation "FABER"

IP joint open packed position:

-Joint in slight flexion

MCP joint open packed position:

-Joint in slight flexion

Tibiofemoral joint open packed position:

-Knee in 25 degrees of flexion "slightly bent"

Ulnohumeral joint open packed position:

-Ulna in 70 degrees of flexion -10 degrees of supination "elbow bent, palm up"

Radiocarpal joint open packed position:

-Wrist in neutral -Slight ulnar deviation

Talocrural joint open packed position:

-ankle in 10 degrees of plantar flexion -neutral inversion/eversion "slightly down"

Radiohumeral joint open packed position:

-radius in full extension -full supination "straight elbow/palm up"


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