Lower Leg and Ankle

Question 1

Anterior Drawer

Answer 1

Supine
Therapist tries to translate foot anteriorly from Tib-Fib
Positive: Anterior translation and/or clunking
Structures tested: ATFL and CFL

Question 2

Talar Tilt

Answer 2

Foot @ 90 degrees dorsi flex
Calcaneus is inverted and everted on tib-fib
Positive: Pain: Inversion = CFL / Eversion = Deltoid

Question 3

Kleiger

Answer 3

High Ankle Sprain Test
Patient is seated with legs hanging over table
knees @ 90 flex
Therapist Stabilize leg at knee with 1 hand and place other hand on plantar surface of foot
Apply passive lateral rotation
Positive: syndesmosis pain
Indicates: Ant & Post tibfib ligaments, interosseous membrane

Question 4

Thompson

Answer 4

Prone
Feet off table
Therapist pinches claves
Negative: Plantar flexion occurs
Positive: No plantar flexion

Question 5

Peroneal Tendon Dislocation

Answer 5

Prone
Knees flexed to 90
Active dorsiflex and plantar flex with eversion against resistance
Positive: Tendon Subluxes from behind lateral malleolus

Question 6

Compression

Answer 6

Squeeze fib-fib above and below suspected injury for tenderness

Question 7

Percussion/Bump

Answer 7

Blow to the heel