Ankle: Assessment 3 Flashcards
Anterior Drawer Test: start position
10-20˚ PF
Anterior Drawer Test: procedure
Translate calcaneus anterior
Anterior Drawer Test: What is being assessed? (Motion)
Forward motion of the talus
Anterior Drawer Test: Laxity or tears of the ATFL suspected if what occurs during the test?
- pain reproduced OR
- forward translation > 3 mm from uninvolved side
Talar Tilt Test: What position should the test be performed in to bias the ATFL?
10˚ PF
Talar Tilt Test: What position should the test be performed in to bias the CFL?
10˚ DF
Talar Tilt Test: stabilize at the ankle mortise and perform what motion?
Rotate talus medially
Talar Tilt Test: Laxity or tear is suspected with pain where?
Below lateral malleolus
Talar Tilt Test: Laxity or tear is suspected with (amount of motion)
Ankle inversion > 15˚ than unimpaired side
Talar Tilt Test: This type of endfeel may indicate tear
Empty
Talar Tilt Test: Differentiating between ATFL/CFL tears
Not sensitive enough to bias between specific tears
External rotation test: patient position
- knee flexed 90˚
- ankle neutral
External rotation test: With the knee flexed to 90˚ and the ankle in neutral position, what is done?
ER the foot and ankle
External rotation test: What response would indicate a syndesmotic injury?
Pain at syndesmosis
Fibular Translation test: procedure
- Stabilize distal tibia
- Translate lateral malleolus anterior/posterior
Fibular Translation test: positive test
Pain reproduced along syndesmosis
Fibular Translation test: More sensitive or specific?
Specific (88%)
Fibular Translation test: Sensitivity
75%
Thompson Test: patient position
Prone
Knee flexed to 90˚
Thompson Test: Gastroc vs. soleus
Test does not preferentially isolate disruption of the gastroc or soleus
Thompson Test: With an Achilles rupture, the pt may still be able to PF in NWB positions through what action?
Toe extension
Windlass test: procedure
- Pt standing on step with MTP hanging off edge
- Stabilize ankle and extend MTP while allowing the IP to flex
Windlass test: Why allow the IP to flex?
Take out potential tightness of FHL
A Windlass test is positive when?
Pain reproduced at end of MTP extension
Windlass test: more sensitive or specific?
Specific (0.99)
Windlass test: Sensitivity
0.33
Pathologies of the ankle and foot: tendon pathologies
- Achilles
- Posterior tibialis
- FHL
- Peroneal tendon
Pathologies of the ankle and foot: joint pathologies
- Chopart’s
- Osteochondral defects
- Arthritis
Pathologies of the ankle and foot: Fractures
- Ankle
- Calcaneal
- Metatarsal
- Stress fx
Pathologies of the ankle and foot: Ligament pathology resulting from
- Ankle sprain
- Chronic ankle instability
