Ankle Tests Flashcards
A Sag Sign indicates:
A. Meniscus Tear
B. LCL Tear
C. MCL Tear
D. PCL Tear
E. ACL Tear
D. PCL Tear
Distal lateral knee pain should be evaluated with what tests (Choose all that apply):
A. Valgus (Abduction) Stress
B. Dryer’s Sign
C. Noble’s Test
D. Ober’s Test
E. Common Fibular nerve pure patch
C and E
What nerve(s) supply sensory innervation to the dorsal web between the 1st and 2nd toes?
A. L4 Nerve root
B. L5 Nerve root
C. Deep Fibular nerve
D. Superficial Fibular nerve
E. Tibial nerve
B and C
Ober’s is for the (Proximal/Distal) IT band?
Proximal
How is an anterior or posterior drawer/draw sign for the ankle performed?
Stabilize the tibia with one hand and draw the patient’s calcaneus and talus anteriorly and then posteriorly
What is a present finding for an anterior drawer/draw sign for the ankle?
Excessive gapping or pain during anterior motion
What is a present finding for a posterior drawer/draw sign for the ankle?
Excessive gapping or pain during posterior motion
What is indicated by a present finding for an anterior drawer/draw sign for the ankle?
Anterior talofibular damage
What is indicated by a present finding for a posterior drawer/draw sign for the ankle?
Posterior talofibular damage
An anterior draw sign is performed on a patients ankle and excessive anterior motion is noted. How is this recorded and what does it indicate?
Present anterior draw sign indicating anterior talofibular damage
A posterior draw sign is performed on a patient’s ankle and excessive posterior motion is noted. How is this recorded and what does it indicate?
Present posterior draw sign indicating posterior talofibular damage
What test can determine an anterior talofibular sprain or tear?
Anterior drawer/draw sign
What test can determine a posterior talofibular sprain or tear?
Posterior drawer/draw sign
How is a lateral or medial stability test for the ankle performed?
Grasp the patients foot and passively invert and evert the foot
What is a positive result for a lateral or medial stability test for the ankle?
Any excessive gapping or pain
What is indicated by an excessive lateral gap positive result for a lateral stability test?
Damage to talofibular or calcaneofibular ligaments
What is indicated by an excessive medial gap positive result for a medial stability test?
Damage to deltoid ligament
What test can determine damage to the deltoid ligament of the ankle?
Medial stability test
What test can determine damage to either the talofibular or calcaneofibular ligaments of the ankle?
Lateral stability test
How is a Tinel tap for the posterior tibial nerve performed?
Tap with a reflex gamer over the tarsal tunnel under and posterior to the medial malleolus
What nerve runs in the tarsal tunnel?
Posterior tibial nerve
What is a present finding for a tinel’s foot sign?
Sustained pain or paresthesia into the planter aspect of the foot
What is indicated by a present Tinel’s foot sign?
Intrinsic neuropathy or peripheral entrapment of the posterior tibial nerve due to subluxation, sprain, or excessive pronation
How is a Morton’s test performed?
Reduce the transverse arch and compress the sides of the foot toward the midline of the foot and note any pain produced
Where is a Morton’s neuroma most common?
Between 3rd and 4th metatarsal
What is a Morton’s toe?
When the 2nd toe is longer than the first toe
What is a positive finding for a Morton’s test?
Any pain produced in the metatarsals/intermetatarsals
What is indicated by a positive finding for a Morton’s test?
Morton’s neuroma or metatarsalgia due to fracture or subluxation
What is metatarsalgia? What test would be positive?
Inflammation of the distal metatarsal heads; Morton’s Test
A Muldar’s click is a positive finding for what test and confirms what?
Morton’s test confirming a Morton’s neuroma
What orthopedic test can determine metatarsalgia or a Morton’s neuroma?
Morton’s test
What orthopedic test can determine an Achilles’ tendon rupture?
Simmonds/Thompson’s/Achilles Integrity test
How is a Simmond’s/Thompsons/Achilles integrity test performed?
Patient is prone with knee flexed 90 degrees. Squeeze the belly of the gastro/soleus muscles and observe for plantarflexion of the foot
What is a positive result for a Simmond’s test?
Absence of foot plantarflexion
What is a positive result for a Thompson’s test?
Absence of foot plantarflexion
What is a positive result for an Achilles Integrity test?
Absence of foot plantarflexion
What is indicated by a positive result for a Thompson, SImmond’s, or Achilles integrity test?
Achilles’ tendon rupture
How is Duchenne’s Sign performed?
Patient supine, examiner applies pressure to the 1st metatarsal head as the patient actively plantar flees the foot
What is a present finding for Duchenne’s Sign?
Inversion of the foot (medial border dorsiflexes while the lateral border plantarflexes)
What is indicated by a present finding for Duchenne’s sign?
Paralysis/paresis of the peroneus longus and brevis due to superficial peroneal damage
What LE orthopedic test can determine damage to the superficial peroneal nerve?
Duchenne’s sign
What LE orthopedic test has a present finding of weak or inhibited peroneus longus and brevis muscles due to superficial peroneal nerve damage?
Duchenne’s sign
