Ankle and Foot Special Tests Flashcards

1
Q

Neutral subtalar postiioning - tests for what

A

Abnormal rear and forefoot positioning

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2
Q

Neutral subtalar positioning - how to perform

A

Pt prone with foot over edge of table
Palpate dorsal aspect of talus on both sides with one hand
Grasp lateral forefoot with other hand
Gently DF foot until resistance is felt and then gently move through arc of supination and pronation
Neutral position is where you feel foot fall off easier to one side than other

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3
Q

Anterior drawer test - tests for what

A

Anterior talofibular ligament

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4
Q

Anterior drawer test - how to perform

A

Pt supne with heel just off edge of table
20 PF
Pull talus ant while stabilizing lower leg and foot

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5
Q

Talar tilt - tests for what

A

Calcaneofibular ligament

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6
Q

Talar tilt - how to perform

A

Pt sidelying
Knee slightly flexed and ankle in neutral
Move foot into add testing calcaneofibular and into abd to test deltoid ligament

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7
Q

Thompson’s test - tests for what

A

Achilles tendon

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8
Q

Thompson’s test - how to perform

A

Pt pron with foot off edge of table

Squeeze calf muscle

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9
Q

Tinels sign - tests for what

A

Dysfunction of posterior tibial nerve as it passes post to medial malleolus

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10
Q

Tinels sign - how to perform

A

Tap over region of deep fibular nerve as it passes under dorsal retinaculum ant to ankle joint

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11
Q

Morton’s test - tests for what

A

Morton neuroma

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12
Q

Morton’s test - how to perform

A

Pt supine with foot supported on table

Grasp around MT heads and squeeze

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13
Q

Kleiger test - tests for what

A

Integrity of distal tibiofibular syndesmosis

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14
Q

Kleiger test - how to perform

A

Pt seated on edge of table with knee flex 90

Examiner apply force to foot while holding tibia in neutral position

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15
Q

Windlass test - tests for what

A

Windlass effect of plantar fascia

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16
Q

Windlass test - how to perform

A

WB test - pt stands on top of step with toes positioned over edge and equal WB
Examiner passively extends pt’s 1st MTP joint

NWB test - pt is seated and NWB with knee flex 90, examiner stabilized ankle and passively extends pt’s 1st MTP joint