Orthopedic Tests: Foot, Ankle, & Leg

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Author:
mandelyn
ID:
273767
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Orthopedic Tests: Foot, Ankle, & Leg
Updated:
2014-05-08 15:55:18
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MBP UCMT Massage
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Description:
Orthopedic tests for the foot, ankle, & leg
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  1. Ankle Drawer Test
    • Explanation: With the client seated on edge of table, the practitioner stabilizes the anterior distal tibia with one hand while pulling the posterior calcaneus in in an anterior direction with the other hand.
    • Tests: Anterior Talofibular Ligament
  2. Talar Tilt Test
    • Explanation: With the client in side-lying, the practitioner grasps the ankle with the thumbs on each side (anterior and posterior) of the lateral malleolus and attempts to move the client's foot into inversion to evaluate pain and mobility
    • Tests: Calcaneofibular Ligament
  3. Squeeze Test
    • Explanation: The practitioner grasps the tibia and fibula at about the proximal or mid-calf region and squeezes them together.
    • Tests: Syndesmosis Sprain/Anterior Tibiofibular ligament
  4. External Rotation Stress Test
    • Explanation: With client on edge of table with knee at 90o and ankle in neutral position the practitioner places a hand under the plantar surface of client's foot.  The foot is then passively, externally rotated (abducted) to the end range of motion.
    • Tests: Syndesmosis Sprain/Anterior Tibiofibular Ligament
  5. Morton's Test
    • Explanation: With client in supine on table the practitioner grasps client's forefoot from both sides and applies moderate pressure, squeezing the metatarsal heads together.
    • Tests: Nerve impingement of the medial and lateral plantar nerves
  6. Interdigital Squeeze Test
    • Explanation: With the client in supine on table the practitioner uses the thumb and index finger to compress the space between the involved metatarsal heads - normally the space between the 3rd and 4th.  Moderate pressure is used.
    • Tests: Nerve impingement of the medial and lateral plantar nerves
  7. Bone Percussion
    • Explanation: Strongly tapping the bone with the fingertips.
    • Tests: Stress fractures
  8. Dorsiflexion-Eversion Test
    • Explanation: With the client in a supine position the ankle is passively moved into maximum dorsiflexion and eversion while the toes are held in hyperextension.  Hold position for 5-10 seconds
    • Tests: Tarsal Tunnel Syndrome/Tibial Nerve Compression
  9. Tinel's Sign Test
    • Explanation: Tapping directly over a neuropathy (medial side of ankle) to reproduce symptoms. 
    • Tests: Tarsal Tunnel Syndrome/Hypersensitivity of Tibial Nerve
  10. Achilles Tendon Pinch Test
    • Explanation: With the client in prone the practitioner squeezes the sides of the Achilles tendon to attempt to reproduce client's primary complaint.
    • Tests: Helps differentiate between Achilles tendon disorders and retrocalcaneal bursitis
  11. Thompson Test
    • Explanation: With the client in prone the practitioner grasps the calf muscles on each side near the musculotendinous junction and squeezes.  If the foot does not plantar flex as the practitioner squeezes the Achilles tendon is ruptured
    • Tests: Achilles tendon
  12. Tibialis Posterior Compression Test
    • Explanation: With the client in supine with the hip partially flexed and the knee flexed to about 90o, allowing the foot to rest flat on the table the practitioner applies pressure to the soft tissues along the posterior/medial border of the tibia.
    • Tests: Medial Tibial Stress Syndrome (posterior shin splints)

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