Ankle Special Tests Flashcards
Sqeeze Test
Distal tibiofibular compression
pt prone with knee flex to 90 deg
PT sqeexes calf 6-8 inches away from knee
Distal pain may indicated syndesmosis issue
Keliger test
ER test
pt sitting off edge of the table
PT stabilizes tibfib while other hand ER neutral ankle
Pain at anterolateral aspect indicates syndesmosis issue
pain medially below medial malleoli indicates injured deltoid ligament
Posterior drawer test
Distal tibiofibular stability
pt supine with hip and knee bent
PT sits on pt foot and brings distal tibfib anteriorly
*if heel comes up, can support talus anteriorly while bringing tibfib anteriorly
Anterior drawer test
Anterior talofibular ligament
pt supine with hip and knee flexed and foot supported in 10-15 deg PF
PT stabilizes distal tibfib while other hand cups heel and translates talus anteriorly
*if foot starts to migrat medially, it may indicate ATF
Talar tilt Test
Pt supine PT ADd and ABd calcaneus ADd tests calcaneofib ABd tests deltoid ligaments if foot is biases towards plantarflexion and inv, ATF involvement
Talar rock test
subtalar joint stability
Pt sidelying with both hips and knees flex
PT sits facing away from pt and grabs ankel and hold below malleoli
PT shakes the foot and listens for any clicking or clunking
there is instability present in sounds are heard
posterior talofibular ligament
Pt is supine with foot just slightly off table
Pt brings ankle into max dorsiflexion with chest while stabilizing distal tibfib with one hand and ER the foot with the other.
Thompson test
pt prone or in Qped
PT sqeezes mid calf and looks for PF
tests for ruptured achilles tendon
Navicular drop
pt seated
PT finds navicular tubercle and measures its distance from the floor
then pt is asked to stand and weight bear on the foot
navicular tuberosity is measured again from the floor
if the different is 6-8mm, there is significane for pronation
