Comprehensive Ankle Assessment Techniques Quiz

1. What motion does Talar Tilt assess?

Dorsiflexion of the calcaneus

Eversion of the calcaneus

Plantarflexion of the calcaneus

Talar Tilt assesses inversion of the calcaneus when the foot is positioned at 90 degrees to the lower leg. Excessive motion of the talus indicates injury to specific ligaments.

Explanation

Talar Tilt assesses inversion of the calcaneus when the foot is positioned at 90 degrees to the lower leg. Excessive motion of the talus indicates injury to specific ligaments.

2. What is Homan's Sign?

The patient lies on their side while the examiner tests for hip range of motion.

The patient stands while the examiner checks for pain in the Achilles tendon.

The patient is seated and the examiner presses on the lower leg to check for pain.

Homan's Sign is a clinical test used to assess for deep vein thrombophlebitis and involves passive dorsiflexion of the foot with the knee extended, not the other scenarios mentioned.

Explanation

Homan's Sign is a clinical test used to assess for deep vein thrombophlebitis and involves passive dorsiflexion of the foot with the knee extended, not the other scenarios mentioned.

3. What is Anterior/Posterior Drawer Test?

B. The patient is seated with the foot tensed and the knee flexed at 90 degrees.

C. The patient is standing with the foot flexed and the knee extended at 45 degrees.

A. The patient is prone with the foot relaxed and the knee extended at 90 degrees.

4. How is Kleiger's Test performed?

Medial aspect of the foot should be rotated medially instead of laterally.

Patient should be standing with the knee bent.

Patient should be lying down with the knee extended.

Kleiger's Test is a specific physical examination test used to assess for ligament injuries in the ankle joint. The correct technique involves having the patient seated with the knee flexed and the legs over the end of the table, with a specific hand positioning to test for pain in different ligament structures.

Explanation

Kleiger's Test is a specific physical examination test used to assess for ligament injuries in the ankle joint. The correct technique involves having the patient seated with the knee flexed and the legs over the end of the table, with a specific hand positioning to test for pain in different ligament structures.

5. What is the purpose of Percussion and Compression tests in diagnosing fractures?

Percussion and Compression tests are used to measure blood pressure levels in the lower extremities.

Percussion and Compression tests are used to evaluate the sense of touch and proprioception in the feet.

Percussion and Compression tests are designed to assess muscular strength and flexibility in the lower leg.

Percussion and Compression tests are orthopedic examination techniques used to help diagnose fractures in the lower extremities. Percussion involves a gentle percussive blow on the heel, while Compression involves applying pressure to the tibia and fibula to assess for pain at the fracture site.

Explanation

Percussion and Compression tests are orthopedic examination techniques used to help diagnose fractures in the lower extremities. Percussion involves a gentle percussive blow on the heel, while Compression involves applying pressure to the tibia and fibula to assess for pain at the fracture site.

6. What is the technique used in the Medial Subtalar Glide Test?

Moving the talus in a lateral direction on the fixed calcaneus.

Rotating the foot in a clockwise direction.

Applying pressure on the Achilles tendon.

The correct technique for the Medial Subtalar Glide Test involves holding the talus in subtalar neutral and gliding the calcaneus in a medial direction on the fixed talus. This specific movement helps assess for excessive movement, indicating possible injury to the lateral ligaments. The incorrect answers do not accurately describe the technique used in this test.

Explanation

The correct technique for the Medial Subtalar Glide Test involves holding the talus in subtalar neutral and gliding the calcaneus in a medial direction on the fixed talus. This specific movement helps assess for excessive movement, indicating possible injury to the lateral ligaments. The incorrect answers do not accurately describe the technique used in this test.

7. What is Morton's Test used to diagnose?

Hammer toe

Achilles tendonitis

Plantar fasciitis

Morton's Test involves applying transverse pressure to the heads of the metatarsals with the foot in a neutral position. A positive test result typically indicates issues such as metatarsalgia or neuroma, not plantar fasciitis, Achilles tendonitis, or hammer toe.

Explanation

Morton's Test involves applying transverse pressure to the heads of the metatarsals with the foot in a neutral position. A positive test result typically indicates issues such as metatarsalgia or neuroma, not plantar fasciitis, Achilles tendonitis, or hammer toe.

8. What is tested in Tinel's Sign Test?

Tinel's Sign Test involves tapping over specific nerves to elicit tingling or paresthesia. The correct answer mentions tapping over the posterior tibial nerve and its association with tarsal tunnel syndrome, which is a key aspect of this test.

Explanation

Tinel's Sign Test involves tapping over specific nerves to elicit tingling or paresthesia. The correct answer mentions tapping over the posterior tibial nerve and its association with tarsal tunnel syndrome, which is a key aspect of this test.

9. What is the Thompson Test used to assess?

Rupture of the Achilles tendon

Fracture of the fibula

Sprain of the deltoid ligament

Tarsal tunnel syndrome

The Thompson Test evaluates the integrity of the Achilles tendon. The patient lies prone with feet hanging off the table. The examiner squeezes the calf — a normal response is plantar flexion of the foot. Absence of movement indicates a ruptured Achilles tendon.

Explanation

The Thompson Test evaluates the integrity of the Achilles tendon. The patient lies prone with feet hanging off the table. The examiner squeezes the calf — a normal response is plantar flexion of the foot. Absence of movement indicates a ruptured Achilles tendon.

10. What is the purpose of the Navicular Drop Test?

To detect plantar fasciitis

To assess medial longitudinal arch collapse and overpronation

To check for metatarsal fractures

To evaluate Achilles tendon flexibility

The Navicular Drop Test measures the difference in navicular height between a non-weight-bearing and weight-bearing position. A significant drop in height indicates excessive pronation or flattening of the medial arch, which can contribute to foot instability and overuse injuries.

Explanation

The Navicular Drop Test measures the difference in navicular height between a non-weight-bearing and weight-bearing position. A significant drop in height indicates excessive pronation or flattening of the medial arch, which can contribute to foot instability and overuse injuries.