Open Packed and Close Packed Positions

Cervical open packed position

midway between flexion and extension

Cervical closed packed position

extension

TMJ open packed position

Mouth slightly open, lips together, teeth not in contact

TMJ closed packed position

anterior: max depression

posterior: max retrusion

GH open packed position

55 degrees ABD scap plane, 30 degrees HADD

GH close packed position

full ABD and ER

AC open packed position

arm by side

AC closed packed position

GHJ ABD to 90 degrees

SC open packed position

arm by side

SC closed packed position

full shoulder elevation

Humeroulnar open packed position

70 degrees flexion, 10 degrees supination

Humeroulnar close packed position

full extension and supination

Radiocarpal open packed position

slight wrist flexion and ulnar deviation

Radiocarpal close packed position

full wrist extension and radial deviation

Midcarpal open packed position

slight wrist flexion and slight ulnar deviation

Midcarpal close packed position

full wrist extension and full ulnar deviation