Tip Toe Standing Test: Difference between revisions
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== Technique == | == Technique == | ||
1. The patient stands on flat ground. This can be done at a wall or other place where external support can be used. | |||
2. The patient is then asked to stand on tip toe. | 2. The patient is then asked to stand on tip toe. In a flexible flatfoot the heel will turn inwards (varus position) and the medial arch will become apparent. In a fixed flatfoot the medial longitudinal arch will remain unobservable.<ref>Alazzawi S, Sukeik M, King D, Vemulapalli K. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241541/ Foot and ankle history and clinical examination: A guide to everyday practice]. World Journal of Orthopedics. 2017 Jan 18;8(1):21.</ref> | ||
In a flexible flatfoot the heel will turn inwards (varus position) and the medial arch will become apparent. In a fixed flatfoot the medial longitudinal arch will remain unobservable.<ref>Alazzawi S, Sukeik M, King D, Vemulapalli K. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241541/ Foot and ankle history and clinical examination: A guide to everyday practice]. World Journal of Orthopedics. 2017 Jan 18;8(1):21.</ref> | |||
To further test for a flexible flatfoot, the Hubscher maneuver (or Jack's test) can also be done. [[File:Medial arch collapse.png|thumb|Figure A: Medial Arch collapse in weight bearing. During weight-bearing, the disappearance of the medial longitudinal arch of the foot is seen. On posterior view, angling of the Achilles tendon (hindfoot valgus) is observed.]][[File:Tiptoe test.png|thumb|Figure B: Tiptoe test. While raising up on tiptoe, reconstruction of the medial longitudinal arch collapsed during weight-bearing is observed.]] | To further test for a flexible flatfoot, the Hubscher maneuver (or Jack's test) can also be done. [[File:Medial arch collapse.png|thumb|Figure A: Medial Arch collapse in weight bearing. During weight-bearing, the disappearance of the medial longitudinal arch of the foot is seen. On posterior view, angling of the Achilles tendon (hindfoot valgus) is observed.]][[File:Tiptoe test.png|thumb|Figure B: Tiptoe test. While raising up on tiptoe, reconstruction of the medial longitudinal arch collapsed during weight-bearing is observed.]] | ||
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{{#ev:youtube|nolevVWzdio|300}}<ref>Dr. Estefania Birrer Gonzalez. Toe Standing Test For Flexible Flatfoot. Available from: https://www.youtube.com/watch?v=nolevVWzdio [last accessed 16/07/2022]</ref> | {{#ev:youtube|nolevVWzdio|300}}<ref>Dr. Estefania Birrer Gonzalez. Toe Standing Test For Flexible Flatfoot. Available from: https://www.youtube.com/watch?v=nolevVWzdio [last accessed 16/07/2022]</ref> | ||
Revision as of 21:44, 18 July 2022
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Purpose[edit | edit source]
The purpose of a tip toe standing test is to differentiate between the two different categories of flatfoot (pes planus), namely flexible flatfoot and fixed flatfoot.[1]
This is an indirect, observational method of assessment.[1]
Technique[edit | edit source]
1. The patient stands on flat ground. This can be done at a wall or other place where external support can be used.
2. The patient is then asked to stand on tip toe. In a flexible flatfoot the heel will turn inwards (varus position) and the medial arch will become apparent. In a fixed flatfoot the medial longitudinal arch will remain unobservable.[2]
To further test for a flexible flatfoot, the Hubscher maneuver (or Jack's test) can also be done.
References[edit | edit source]
- ↑ 1.0 1.1 Rodriguez N, Volpe RG. Clinical diagnosis and assessment of the pediatric pes planovalgus deformity. Clinics in Podiatric Medicine and Surgery. 2010 Jan 1;27(1):43-58.
- ↑ Alazzawi S, Sukeik M, King D, Vemulapalli K. Foot and ankle history and clinical examination: A guide to everyday practice. World Journal of Orthopedics. 2017 Jan 18;8(1):21.
- ↑ Dr. Estefania Birrer Gonzalez. Toe Standing Test For Flexible Flatfoot. Available from: https://www.youtube.com/watch?v=nolevVWzdio [last accessed 16/07/2022]
