Ankle/Foot Flashcards
Anterior Drawer Test of the Ankle
- test the stability if the ATFL
- Positive with excessive anterior talar translation and/or pain
pt and PT hand position for the anterior drawer of the ankle
pt: ankle in 10-15 degrees of PF
PT: S-tibia M- calcaneus with a PA force
Medial Talar Tilt Test
- test the integrity of the CFL and the ATFL
- positive with laxity compared the the contralateral side and/or pain
pt and PT positioning with the medial talar tilt test.
pt: seated or side-lying with the ankle in a neutral position
PT: S: tibia and fibula M: the talus tilts into adduction
External Rotation stress test (kleiger)
- integrity of the distal tibiofibular syndemosis and/or deltoid ligament
- positive with visible joint gapping and/or pain
pt and PT position for the External Rotation stress test (kleiger)
pt: seated with legs dangling over the edge, foot relaxed
PT: S- tibia and fibula M- the foot into external rotation
Dorsiflexion and external rotation of the foot test
- tests the integrity of the distal tibiofibular syndesmosis by forcing the wider anterior portion of the talar dome into the mortise
- positive with visible joint gapping and/or pain
pt and PT position for dorsiflexion external rotation test
pt: seated; knee flexed to 90, ankle maximal DF
PT: S- tibia and fibula M- external rotation of the foot
Syndesmosis Squeeze
- Test the integrity of the syndesmosis
- positive with distal pain near the syndesmosis.
pt and PT position for the syndesmosis squeeze
pt: any comfortable position
PT: wrap hands around the lower legs and produce an inward force with both hands.
Cotton Test/ Cotton Clunk / lateral stress test
- checks for syndesmosis instability
- postitive with an audible clunk or calcaneal translation over 3-5mm
pt and PT position for the cotton test
pt: supine foot in neutral
PT: S- tibia and fibula M- the calcaneus laterally
Thompson Test
- used to determine an achilles tendon rupture
- positive with lack of foot movement into PF
pt and PT position for the thompson’s test
pt: prone
PT: squeeze the pts calf and look for ankle PF
refer to ortho if test is positive.
The windlass test
- used to test the integrity of the planter fascia
- positive if passive extension is continued to end range or until reproduction of pain