Ankle Special Tests

Question 1

Anterior Drawer Test

Answer 1

Ant. talofibular ligament sprain

supine, 20 degrees PF, draw talus forward in ankle mortise.

Question 2

Lateral rotation stress test (Kleiger test)

Answer 2

Deltoid Ligament tear or High ankle sprain
seated dependent, apply lateral rotation force to the foot
Positive = pain over anterior or posterior tibiofibular ligament and interosseous membrane (high ankle) OR pain medially and talus shifting away from medial malleolus (deltoid)

Question 3

Talar tilt test

Answer 3

Calcaneofibular Ligament Sprain
sidelying with knee flexed 90 degrees. Tilt talus into abduction and adduction
Positive = excessive adduction

Question 4

Thompson test

Answer 4

Ruptured Achilles tendon
prone, feet extended over edge of the table. PT squeezes muscle belly of gastroc and soleus
Positive = absense of plantar flexion

Question 5

Tibial torsion test

Answer 5

Measuring amount of “toe out”

Normal lateral torsion is 12-18 degrees in an adult

Question 6

True leg length discrepancy test

Answer 6

supine with hip and knees extended, measure from ASIS to medial malleoli.
Significant = >1cm variation between legs