Impingement sign ankle: Difference between revisions
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'''Original Editor '''- | '''Original Editor '''- Melissa Billy Stavrakis, MPT | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== Purpose<br> == | == Purpose<br> == | ||
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Clinician facing patient in seated position. Clinician grasps the calcaneus with the hand on the lateral side of the foot with fingers around the calcaneal tuberosity and thumb over the anterolateral portion of the ankle. The medial hand grasps the forefoot. Initially the foot is held in plantarflexion. While pressure is applied with the examining thumb, the foot is brought from a plantarflexed position to full dorsiflexion. | Clinician facing patient in seated position. Clinician grasps the calcaneus with the hand on the lateral side of the foot with fingers around the calcaneal tuberosity and thumb over the anterolateral portion of the ankle. The medial hand grasps the forefoot. Initially the foot is held in plantarflexion. While pressure is applied with the examining thumb, the foot is brought from a plantarflexed position to full dorsiflexion. | ||
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Positive Test: Pain reproduced from combined movement with thumb pressure and pain is greater in dorsiflexion than in plantarflexion. | |||
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Negative Test: Pain is not increased with combined movement. | |||
<ref>Malloy S, Solan MC, Bendall SP. Synovial impingement in the ankle. A new physical sign. J Bone Joint Surg Br 2003;85(3):330-333.</ref> | |||
== Evidence == | == Evidence == | ||
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Specificity: 88% | Specificity: 88% | ||
== Resources == | == Resources == | ||
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[[Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess.|Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess.]]<br>[[Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain.|Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain.]] | [[Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess.|Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess.]]<br>[[Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain.|Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain.]] | ||
[[Anterolateral fibrous impingement of the ankle. Report of 14 cases]|Anterolateral fibrous impingement of the ankle. Report of 14 cases]]] | [[Anterolateral fibrous impingement of the ankle. Report of 14 cases]|Anterolateral fibrous impingement of the ankle. Report of 14 cases]]] | ||
[[Anterolateral impingement of the ankle.|Anterolateral impingement of the ankle.]] | [[Anterolateral impingement of the ankle.|Anterolateral impingement of the ankle.]] | ||
[[Diagnosis of anterolateral ankle impingement. Comparison between magnetic resonance imaging and clinical examination.|Diagnosis of anterolateral ankle impingement. Comparison between magnetic resonance imaging and clinical examination.]] | [[Diagnosis of anterolateral ankle impingement. Comparison between magnetic resonance imaging and clinical examination.|Diagnosis of anterolateral ankle impingement. Comparison between magnetic resonance imaging and clinical examination.]] | ||
== References == | == References == | ||
Revision as of 21:34, 6 December 2009
Original Editor - Melissa Billy Stavrakis, MPT
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Purpose
[edit | edit source]
Test for anterior impingement of the talocrural joint.
Technique
[edit | edit source]
Clinician facing patient in seated position. Clinician grasps the calcaneus with the hand on the lateral side of the foot with fingers around the calcaneal tuberosity and thumb over the anterolateral portion of the ankle. The medial hand grasps the forefoot. Initially the foot is held in plantarflexion. While pressure is applied with the examining thumb, the foot is brought from a plantarflexed position to full dorsiflexion.
Positive Test: Pain reproduced from combined movement with thumb pressure and pain is greater in dorsiflexion than in plantarflexion.
Negative Test: Pain is not increased with combined movement.
Evidence[edit | edit source]
Sensitivity: 94.8%
Specificity: 88%
Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess.
Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain.
[[Anterolateral fibrous impingement of the ankle. Report of 14 cases]|Anterolateral fibrous impingement of the ankle. Report of 14 cases]]]
Anterolateral impingement of the ankle.
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Malloy S, Solan MC, Bendall SP. Synovial impingement in the ankle. A new physical sign. J Bone Joint Surg Br 2003;85(3):330-333.
