KIN 1 OPEN/CLOSED PACKED POSITIONS and CAPSULAR PATTERNS UE

closed packed position

- articulating segments are most congruent, least distracted, most amount of capsular pattern/tension

- most stable, least mobile --> uncomfortable

open packed position

- articulating segments are least congruent, most distracted, least amount of capsular pattern/tension

- most mobile, least stable --> comfortable

radiocarpal open

neutral with slight ulnar deviation

CMC open

midway between abduction-adduction and flexion - extension

MCP open

slight flexion

IP open

slight flexion

radiocarpal closed

extension with radial deviation

MCP (fingers) closed

full flexion

MCP (thumb) closed

full opposition

IP closed

full extension

radiocarapl capsular pattern

flexion and extension equally limited

MCP capsular pattern

flexion > extension

IP capsular pattern

flexion > extension

GH open packed

55 deg of ABDuction AND 30 deg of horizontal ADDuction

GH closed packed

ABDuction and ER

GH capsular pattern

ER/ABD/IR

AC open packed

arm resting at side in normal physiological position

AC close packed

90 deg og shoulder ABDuction

AC capsular pattern

pain at extreme range of motion

SC open packed

arm resting at side in normal physiological position

SC closed packed

maximum arm elevation and scapular protraction

SC capsular pattern

pain at extreme ROM

capsular pattern

a characteristic limitation of joint motion that occurs when the entire joint capsule becomes restricted, such as from inflammation, fibrosis, or arthritis

humeroulnar open packed

70 deg flexion, 10 deg supination

humeroradial open packed

full extension, full supination

proximal radioulnar open packed

70 degrees flexion, 35 degrees supination

distal radioulnar open packed

10 deg supination

humeroulnar closed packed

extension

humeroradial closed packed

elbow flexed to 90 deg, forearm supinated 5 deg

proximal radioulnar closed packed

5 deg supination

distal radioulnar

5 deg supination

humeroulnar capsular pattern

flexion > extension

humeroradial capsular pattern

extension > supination > pronation

proximal radioulnar capsular pattern

supination > pronation

distal radioulnar capsular pattern

full range of motion with pain at extremes of rotation