Tip Toe Standing Test: Difference between revisions
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In a '''flexible flatfoot''' the heel will turn inwards (varus position) and the medial arch will become apparent. | In a '''flexible flatfoot''' the heel will turn inwards (varus position) and the medial arch will become apparent. | ||
In '''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 '''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>[[File:Medial arch collapse.png|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.|alt=|left|thumb]] | ||
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![[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.|alt=|center]] | ![[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.|alt=|center]] | ||
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==== Performance of Tip Toe Standing Test ==== | |||
{{#ev:youtube|nolevVWzdio|500}}<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|500}}<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 21:56, 6 August 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.
Result[edit | edit source]
In a flexible flatfoot the heel will turn inwards (varus position) and the medial arch will become apparent.
In fixed flatfoot, the medial longitudinal arch will remain unobservable.[2]
Performance of Tip Toe Standing Test[edit | edit source]
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]
