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Special Tests

Foot and Ankle Special Tests

Special TestMethod of Test and Indications
Anterior Drawer-Passive Lie Supine. Stabilize tiiba & fibula, grab calcaneus & pull forward in the ankle mortise. (+ = excessive motion relative to other ankle; indicative of an injury to the ATF)
Anterior Drawer-Active Lie supine. Stabilize foot & talus a bring tibia & fibula posterior on the talus. (+ = excessive posterior mvmt of the tibia & fibula on the talus; indicative of injury to ATF)
Talar Tilt Test (CFL & Deltoid) Lies supine. Tilt talus into adduction & abduction. Adduction tests CFL & abduction tests deltoid. (+ = excess motion compared to other ankle; indicative of injury to: add-CFL, abd-deltoid)
ER for Syndesmosis Pt sits on edge of table with knee at 90 degrees. Apply a passive lateral rotation stress to foot & ankle. (+ = pain over ant. or post.tibiofibular ligaments & interosseous membrane; indicative ligamentous instability)
Planta Fascia Test vs Foot Intrinsics Plantar fascitis: Passively DF toes & ankle & palpate medial plantar tubercle of the calcaneus. Foot intrinsics: Curl toes around finger & then resist. (+ = pain for both tests)
Navicular Drop Test Mark the inferior edge of navicular tuberosity while in simulated single limb stance. Make a line from floor to inferior NT. Now have pt sit & put leg in same position & remark NT. Measure the difference on the card. Excessive pronation if drop is greater
Created by: 138 Rechow