Ankle: Assessment 3

Question 1

Anterior Drawer Test: start position

Answer 1

10-20˚ PF

Question 2

Anterior Drawer Test: procedure

Answer 2

Translate calcaneus anterior

Question 3

Anterior Drawer Test: What is being assessed? (Motion)

Answer 3

Forward motion of the talus

Question 4

Anterior Drawer Test: Laxity or tears of the ATFL suspected if what occurs during the test?

Answer 4

• pain reproduced OR

- forward translation > 3 mm from uninvolved side

Question 5

Talar Tilt Test: What position should the test be performed in to bias the ATFL?

Answer 5

10˚ PF

Question 6

Talar Tilt Test: What position should the test be performed in to bias the CFL?

Answer 6

10˚ DF

Question 7

Talar Tilt Test: stabilize at the ankle mortise and perform what motion?

Answer 7

Rotate talus medially

Question 8

Talar Tilt Test: Laxity or tear is suspected with pain where?

Answer 8

Below lateral malleolus

Question 9

Talar Tilt Test: Laxity or tear is suspected with (amount of motion)

Answer 9

Ankle inversion > 15˚ than unimpaired side

Question 10

Talar Tilt Test: This type of endfeel may indicate tear

Answer 10

Empty

Question 11

Talar Tilt Test: Differentiating between ATFL/CFL tears

Answer 11

Not sensitive enough to bias between specific tears

Question 12

External rotation test: patient position

Answer 12

• knee flexed 90˚

- ankle neutral

Question 13

External rotation test: With the knee flexed to 90˚ and the ankle in neutral position, what is done?

Answer 13

ER the foot and ankle

Question 14

External rotation test: What response would indicate a syndesmotic injury?

Answer 14

Pain at syndesmosis

Question 15

Fibular Translation test: procedure

Answer 15

• Stabilize distal tibia

- Translate lateral malleolus anterior/posterior

Question 16

Fibular Translation test: positive test

Answer 16

Pain reproduced along syndesmosis

Question 17

Fibular Translation test: More sensitive or specific?

Answer 17

Specific (88%)

Question 18

Fibular Translation test: Sensitivity

Answer 18

75%

Question 19

Thompson Test: patient position

Answer 19

Prone

Knee flexed to 90˚

Question 20

Thompson Test: Gastroc vs. soleus

Answer 20

Test does not preferentially isolate disruption of the gastroc or soleus

Question 21

Thompson Test: With an Achilles rupture, the pt may still be able to PF in NWB positions through what action?

Answer 21

Toe extension

Question 22

Windlass test: procedure

Answer 22

• Pt standing on step with MTP hanging off edge

- Stabilize ankle and extend MTP while allowing the IP to flex

Question 23

Windlass test: Why allow the IP to flex?

Answer 23

Take out potential tightness of FHL

Question 24

A Windlass test is positive when?

Answer 24

Pain reproduced at end of MTP extension

Question 25

Windlass test: more sensitive or specific?

Answer 25

Specific (0.99)

Question 26

Windlass test: Sensitivity

Answer 26

0.33

Question 27

Pathologies of the ankle and foot: tendon pathologies

Answer 27

- Achilles - Posterior tibialis - FHL - Peroneal tendon

Question 28

Pathologies of the ankle and foot: joint pathologies

Answer 28

- Chopart’s - Osteochondral defects - Arthritis

Question 29

Pathologies of the ankle and foot: Fractures

Answer 29

- Ankle - Calcaneal - Metatarsal - Stress fx

Question 30

Pathologies of the ankle and foot: Ligament pathology resulting from

Answer 30

- Ankle sprain | - Chronic ankle instability