Open packed position / Close packed position

Joint Closed-packed position Open-packed position
Vertebral full extension midway between flexion and extension
sternoclavicular arm fully elevated arm resting by the side of the body
acromioclavicular arm abduction to 90° arm resting by the side of the body
Glenohumeral Fully horizontal ABD & Full ER  60° abduction with 30° horizontal adduction with no rotation

Elbow

   Humeroulnar

   Huemroradial

   proximal Radioulnar

   Distal radioulnar

 

Full extension with full supination

90° flex with with 5° supination

Full extension with 5° supination

5° supination

 

 70° Flex with 10° supination

 Full extension  with Full supination

 70° Flex with 35° supination 

10° supination

 Radiocarpal joint/ ulnocarpal Full extension & Radial deviation  Neutral position (midway between flexion and extension with slight ulnar deviation) 
Intercarpal full extension Neutral with slight flexion and slight ulnar deviation
carpometacapal full opposition midway between flexion and extension

MCP joints

  2-5

  1

 

 Full extension 

 Full extension

 

slight flexion and ulnar deviation 

slight flexion 

     
     
     
     
     
     

Joint

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