Windlass Test

Original Editor - Alesha Walker

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Performance of the test[edit | edit source]

Non-weight bearing: With the patient sitting, the clinician performs forceful great toe extension while stabilizing the ankle.

Weight bearing: With the patient in a weight bearing position, the clinician performs forceful great toe extension.

Purpose of the test[edit | edit source]

The Windlass test is designed to detect presence of plantar fasciitis.

Positive test: A positive test is defined as reproduction of pain at the medical calcaneal tubercle.

Diagnostic properties[edit | edit source]

Non-weight bearing:

Sensitivity: 0.18
Specificity: 0.99
Positive likelihood ratio: 16.21
Negative likelihood ratio: 0.82

Weight bearing:

Sensitivity: 0.33
Specificity: 0.99
Positive Likelihood Ratio: 28.70
Negative Likelihood Ratio: 0.68

Resources[edit | edit source]

Brown C. A review of subcalcaneal heel pain and plantar fasciitis. Aust Fam Physician. 1996;25:875–885.

De Garceau D, Dean D, Requejo SM, Thordarson DB. The association between diagnosis of plantar fasciitis and Windlass test results. Foot Ankle Int. 2003;24:251–255.

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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