Ankle Examination: Difference between revisions

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***Simmonds-Thompson test
***Simmonds-Thompson test
**Tarsal tunnel
**Tarsal tunnel
==Palpation==
Bone tenderness base 5th MT - ฮบ 0.78
Bone tenderness tip of medial malleolus - ฮบ 0.66
Bone tenderness posterior edge lateral malleolus โ€“ ฮบ 0.75
Syndesmosis ligament palpation - sens 0.92, spec 0.29, LR+ 1.29, LR- 0.28


==Special Tests==
==Special Tests==
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| Triple Compression|| 0.86|| 1.0|| inf|| -0.99|| -
| Triple Compression|| 0.86|| 1.0|| inf|| -0.99|| -
|}
|}
===Triple Compression Test===
<ref>Abouelela A., Zohiery AK. The triple compression stress test for diagnosis of tarsal tunnel syndrome. Foot (Edinb). 2012 Sep;22(3):146-9. </ref>

Revision as of 19:23, 20 June 2020

Examination Structure

  • Gait
  • Look
  • Feel
  • Move
  • Special tests
    • Syndesmosis
      • Squeeze test, external rotation
    • Lateral ligamentous complex
      • Anterior drawer, talar tilt
    • Achilles
      • Simmonds-Thompson test
    • Tarsal tunnel

Palpation

Bone tenderness base 5th MT - ฮบ 0.78 Bone tenderness tip of medial malleolus - ฮบ 0.66 Bone tenderness posterior edge lateral malleolus โ€“ ฮบ 0.75 Syndesmosis ligament palpation - sens 0.92, spec 0.29, LR+ 1.29, LR- 0.28

Special Tests

  • Anterior drawer test โ€“ ATFL
  • Talar tilt test โ€“ ATFL + CFL
  • Syndesmotic squeeze or external rotation test โ€“ AITFL
  • Thompson test โ€“ TA
  • Triple compression test - tarsal tunnel
Header text Header text Header text Header text Header text Header text
Anterior Drawer 0.33 0.73 +1.27 -0.90 -0.03
Talar Tilt 0.67 0.75 +2.7 -0.44 -
Syndesmotic Squeeze 0.3 0.93 +4.6 -0.75 0.5
External Rotation 0.2 0.85 +1.31 -0.94 0.75
Thomson Test 0.96 0.93 +13.5 -0.04 -
Triple Compression 0.86 1.0 inf -0.99 -

Triple Compression Test

[1]

  1. โ†‘ Abouelela A., Zohiery AK. The triple compression stress test for diagnosis of tarsal tunnel syndrome. Foot (Edinb). 2012 Sep;22(3):146-9.