Ankle Examination
From WikiMSK
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
- Syndesmosis
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
References
- โ Abouelela A., Zohiery AK. The triple compression stress test for diagnosis of tarsal tunnel syndrome. Foot (Edinb). 2012 Sep;22(3):146-9.