Ankle Examination

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

Special Tests

• Anterior drawer test – ATFL
• Talar tilt test – ATFL + CFL
• Syndesmotic squeeze or external rotation test – AITFL
• Thompson test – TA
• Triple compression test - tarsal tunnel

13.5

Test	Sensitivity	Specificity	+LR	-LR	Kappa
Anterior Drawer	0.33	0.73	1.27
Talar Tilt	0.67	0.75	2.7
Syndesmotic Squeeze	0.3	0.93	4.6
0.50
External Rotation	0.2	0.85	1.31
0.75
Thomson Test	0.96	0.93
Triple Compression	0.86	1.00	int	0.99