Advanced Sports Medicine Special Tests
Exam
Anterior Drawer Test (ankle) - correct answer--relax
-lies on back, asses instability of ankle
-hand placement: stabilise the lower leg with one hand, other hand cups the heel
-force: anterior force applied to heel
-positive: excessive translation
-tested on: tear of anterior talofibular ligament
-test bilaterally
Talar Tilt - correct answer--relax
-lies on back
-hand placement: stabilise the foot in anatomical position, cup the heel
-force: tilt side to side,
-positive: translation into adduction means a tear on calcaneofibular ligament,
translation on abduction means tear on deltoid ligament, or increased joint laxity
-tested on: calcaneofibular ligament, deltoid
-test bilaterally
Compression - correct answer--relax
-lies on back, supine
-hand placement: hands around the lower leg
-force: squeeze tibia and fibula together
-positive: pain, feel for a fracture
-tested on: integrity of distal tibiofibular joint, fractures of tibia and fibula
-test bilaterally
Thompson Test - correct answer--relax
-lies on stomach, prone
-hand placement: one hand on soleus, gastrocnemiums muscle group (calf),
-force: squeeze
-positive: no plantar flexion
-tested on: Achilles tendon
-test bilaterally
Lachmann Test - correct answer--relax
-lies on back
-hand placement: grasp femur, other hand behind the tibia
-force: pull against the other
-positive: anterior displacement, point tender
Exam
Anterior Drawer Test (ankle) - correct answer--relax
-lies on back, asses instability of ankle
-hand placement: stabilise the lower leg with one hand, other hand cups the heel
-force: anterior force applied to heel
-positive: excessive translation
-tested on: tear of anterior talofibular ligament
-test bilaterally
Talar Tilt - correct answer--relax
-lies on back
-hand placement: stabilise the foot in anatomical position, cup the heel
-force: tilt side to side,
-positive: translation into adduction means a tear on calcaneofibular ligament,
translation on abduction means tear on deltoid ligament, or increased joint laxity
-tested on: calcaneofibular ligament, deltoid
-test bilaterally
Compression - correct answer--relax
-lies on back, supine
-hand placement: hands around the lower leg
-force: squeeze tibia and fibula together
-positive: pain, feel for a fracture
-tested on: integrity of distal tibiofibular joint, fractures of tibia and fibula
-test bilaterally
Thompson Test - correct answer--relax
-lies on stomach, prone
-hand placement: one hand on soleus, gastrocnemiums muscle group (calf),
-force: squeeze
-positive: no plantar flexion
-tested on: Achilles tendon
-test bilaterally
Lachmann Test - correct answer--relax
-lies on back
-hand placement: grasp femur, other hand behind the tibia
-force: pull against the other
-positive: anterior displacement, point tender