Impingement sign ankle

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Purpose
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Test for anterior impingement of the talocrural joint.

Technique
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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.


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.

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