Lower Extremity Vascular and Ankle Tests Flashcards
procedure for Anterior drawer sign
pt is supine or seated, Dr places one hand on anterior tibia and other hand on posterior calcaneous; then pulls foot anterior
purpose of Anterior drawer sign
looking for anterior talofibular ligament instability
findings of Anterior drawer sign
excess anterior translation
procedure for Posterior drawer sign
pt is supine or seated, Dr places one hand on posterior tibia and other hand on anterior calcaneous; then pushes foot posterior
purpose of Posterior drawer sign
looking for posterior talofibular ligament instability
findings of Posterior drawer sign
excess posterior translation
procedure for Calf circumference test
measure calf at widest point, 4 inches below patella
purpose of Calf circumference test
increased sign means acute compartment syndrome
decreased sign means muscle atrophy
findings of Calf circumference test
there will be increased or decreased diameter when comparing both legs
procedure for Claudication test
pt walks for one minute while Dr times until there is pain
purpose of Claudication test
looking for peripheral vascular weakness, atherosclerosis, popliteal artery entrapment syndrome
findings of Claudication test
muscle weakness, cramping, pain, discomfort
procedure for Homan’s sign
pt lies supine and Dr raises leg to 45 degrees, squeezes calf, and quickly dorsiflexes the foot
purpose of Homan’s sign
looking for gastroc/soleus strain
findings of Homan’s sign
persistent achy calf pain or short duration of deep calf pain
procedure for Moses’ test
pt lies prone and Dr flexes knee to 90 degrees and squeezes calf quickly
purpose of Moses’ test
looking for lower extremity vascular insufficiency, gastroc/soleus strain, thrombophlebitis
findings of Moses’ test
persistent achy calf pain or short duration of deep calf pain
procedure for Thompson’s test
pt lies prone and Dr flexes knee to 90 degrees and squeezes the calf
purpose of Thompson’s test
looking for ruptured achilles tendon, gastroc/soleus strain, thrombophlebitis
findings of Thompson’s test
no plantar flexion, localized pain, short deep pain
