Lower leg, foot & ankle

Question 1

Anterior drawer test of ankle

Answer 1

Lower leg, foot & ankle
(Lift ankle)
Pte lays face up at the edge.  Examiner uses one hand to hold the foot on top to the table, the other hand grabs the heel in between the foot and lift up.
\+ Excessive anterior movement of talus
! Anterior talofibular ligament sprain

Question 2

Talar tilt

Answer 2

Lower leg, foot & ankle
(Ever and inver foot)
Pte lays face up at the edge. Examiner cups both heels inver and eversion the foot.
+ Excessive eversion or inversion of both or one feet
! Excess eversion = deltoid ligament instability. Excess inversion = calcaneofibular ligament instability

Question 3

Thompson’s test Achilles tendon rupture test

Answer 3

Lower leg, foot & ankle
(Massage from UB40 to achilles and see plantflexion)
Pte lays face down. Feet hanging on edge. Examiner squeezes calf.
+ Absence of plantaflexion
! Ruptured Achilles tendon

Question 4

Tinel’s sign of ankle

Answer 4

Lower leg, foot & ankle
(Tap ST41 and KD3)
Pte lays face up. Tab 3 times
\+ Pain, numbness or tingling?
! Deep peroneal neuropathy

Question 5

Morton’s test

Answer 5

Lower leg, foot & ankle
(Squeeze sole)
Pte lays face up.  Examiner grasps foot around heads and squeezes metatarsal heads together. (keep the metatarsal in line)
\+ Metatarasal pain
! Morton's neuroma