Which option best represents a major fixation type that is not allowed to return to neutral?

Which option best represents a major fixation type that is not allowed to return to neutral?

• A. Fixed in normal alignment
• B. Decreased ROM
• C. Fixed outside of neutral unable to return to neutral
• D. Increased ROM

Answer: (C)

A fixed deformity where tissues shorten and the joint becomes locked in a position away from neutral is the concept being tested. This is a contracture, a fixation that cannot be moved back to neutral. That’s why the statement describing being fixed outside neutral and unable to return to neutral best fits. Being fixed in normal alignment doesn’t imply a deformity and can still allow returning to neutral. Decreased ROM means limited movement but not necessarily a locked position. Increased ROM reflects laxity or hypermobility, not a fixed, non-recoverable position.

A fixed deformity where tissues shorten and the joint becomes locked in a position away from neutral is the concept being tested. This is a contracture, a fixation that cannot be moved back to neutral. That’s why the statement describing being fixed outside neutral and unable to return to neutral best fits. Being fixed in normal alignment doesn’t imply a deformity and can still allow returning to neutral. Decreased ROM means limited movement but not necessarily a locked position. Increased ROM reflects laxity or hypermobility, not a fixed, non-recoverable position.