Special Tests Ankle

Special Tests Ankle

Multiple Select

What tests detect rupture of the Achilles Tendon?

• Homan's Sign

• Achilles Pinch Test

• Thompson's Test

• Squeeze Test

Achilles Tendon Rupture (CLICK NEXT)

• Thompson Test - grasp gastroc and squeeze. + test is lack of plantarflexion

• Achilles Pinch Test - grasp tendon between thumb & first 2 fingers and squeeze. + is lack of plantarflexion and pain

Multiple Choice

What condition is tested when a client is standing on chair or stool with metatarsal heads resting on edge while therapist passively dorsiflexes the big toe?

• Plantar Faciitis

• Medial Ankle Sprain

• Medial Tibial Stress Syndrome

• Hallux Valgus

Plantar Fasciitis (CLICK NEXT)

• Windlass Test - assesses integrity of plantar fascia

• + pain or increased pain at insertion site of plantar fascia

Multiple Choice

What test should be done to assess for a DVT (deep vein thrombosis)?

• Thompson Test

• Morton's Test

• Homan's Sign

• Squeeze Test

Multiple Select

Which is not a positive sign for Homan's Sign test?

• deep pain

• heat and redness

• shooting pain

• pallor

• swelling

Homan's Sign (CLICK NEXT)

• assesses for DVT (deep vein thrombosis)

• passively dorsiflex to lengthen calf; + deep pain in calf; redness, heat, tenderness, may be pallor and swelling

Multiple Choice

What test assesses the most commonly strained ligament in lateral ankle sprain?

• Ankle Drawer Test

• DorsiflexionEversion Test

• Talar Tilt Test

• Squeeze Test

Multiple Choice

What is the most commonly strained ligament in lateral ankle sprain?

• anterior talofilbular

• posterior talofibular

• anterior fibiotalar

• tibiocalcaneal

Multiple Choice

What does the Talar Tilt test assess?

• syndesmosis ankle sprain

• anterior talofibular

• calcaneofibular

• anterior tibiotalar

Lateral Ankle Tests

• Ankle Drawer test - anterior talofibular ligament (ATF)

• + dimple appears over ATF area is minimal; Excessive forward translation

  Boggy end feel; ↑pain

• Talar Tilt Test - calcaneofibular

• + ↑pain,Excessive ROM (foot in neutral should resist inversion

Multiple Choice

Pain in the distal tibiofibular joint is a positive sign for what test?

• Windlass Test

• Squeeze Test

• Morton's Test

• Tibialis Posterior Compression Test

Squeeze Test

• Syndesmosis ankle sprain

• from midcalf down, squeeze tibia and fibula together; + pain in distal tibiofibular joint

• Syndesmosis ankle sprains - extreme dorsiflexion (and DF/rotation)

Multiple Choice

This injury is typically cause by wearing shoes that are tight or have narrow toe box.

• Pes Cavus

• Bunions

• Tarsal Tunnel Syndrome

• None of the Above

Multiple Choice

All of the following are signs/symptoms of a torn achilles EXCEPT:

• Inability to dorsiflex the foot

• Feel like someone kicked them from behind

• Sharp pain in back of heel

• Bruising

Multiple Choice

What does the Dorsiflexion-Eversion test assess for?

• Tarsal Tunnel Syndrome

• Syndesmosis sprain

• compression of peroneal nerve

• medial ankle sprain

Dorsiflexion Eversion (CLICK NEXT)

• assess for Tarsal Tunnel Syndrome (compression of posterior tibial nerve)

• passively dorsiflex and evert foot, extend toes, hold for 15 sec

• + sharp shooting pain in med ankle, pain in plantar fascia

Multiple Choice

Which special test would NOT be done for pain in plantar surface of foot?

• Dorsiflexion Eversion Test

• Morton's Test

• Windlass Test

• Ankle Drawer Test

Morton's Test (CLICK NEXT)

• assess for Morton's Neuroma

• grasp client's foot and squeeze metatarsal heads together

• + pain - sharp, shoots into toes

Multiple Choice

What is the name of ligament B?

• tibiocalcaneal ligament

• posterior talofibular ligament

• anterior talofibular ligament

• calcaneofibular ligament

Multiple Choice

What is the name of ligament A?

• calcaneofibular ligament

• posterior talofibular ligament

• anterior talofibular ligament

• tibiocalcaneo ligament