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