Squeeze Test Purpose:To help identify tibiofibular syndesmotic injuries. the examiner performs a compress and release motion. Orthopedic Exam/ Special Test: Squeeze Test of the Leg PROCEDURE: the patient lies supine. Evaluative Procedure: Gently squeeze the fibula and tibia, gradually adding more pressure if no pain or other symptoms are elicited. How is the test performed? Likelihood ratios (LR) ranging from LR+1.50 to LR-1.50 were found for other tests. Positive Test: Pain is elicited Implications: A) Gross fracture or stress fracture of the fibula when pain is described along the fibular shaft. Design Systematic review. Teitz CC(1), Harrington RM. Examiner then squeezes the calcaneus in three locations: Sides of calcaneus, calcaneal tuberosity (posterior calcaneus), and the medical calcaneal tubercle. The purpose of the squeeze test is to aid in the diagnosis of syndesmotic ankle sprains. Thompson Test. References from identified articles were examined and seven authors of eligible studies were … A biochemical analysis of the squeeze test for sprains of the syndesmotic ligaments of the ankle.

Squeeze Test (Lower Leg) Examination type: Ligamentous stress and boney integrity : Patient & Body Segment Positioning: To perform this test the examiner will have the patient short sit on the side of a table with the edge under their knees and their legs hanging off the table. Of the clinical tests, the squeeze test had the highest specificity (88%) with a positive LR of 2.15 (95% CI 0.86 to 5.39). Ankle sprains are one of the most common musculoskeletal and sports-related injuries, constituting nearly 25% of all musculoskeletal trauma cases and almost 40% of all sports-related trauma cases. Patient prone with knee flexed at 90 degrees. Design Systematic review. The tests places lateral force on the tibia, spreading the syndesmosis and stretching the deltoid ligament. Examiner stabilizes lower leg with one hand. Anterior Drawer Test It is used to assess the integrity of the ATFL based on the anterior translation of the talus under the tibia in a sagittal plane. Data sources An electronic database search was conducted (to 6 August 2012) of databases such as: MEDLINE, CINAHL, EMBASE, PubMed and Cochrane Databases. Tenderness can usually be pinpointed over the front ankle ligaments (the AITFL) and possibly over the posterior fibular ligaments (the PITFL and transverse ligaments). Syndesmosis ligament tenderness (92%) and the dorsiflexion-external rotation stress test (71%) had the highest sensitivity values and negative LR of 0.28 (95% CI 0.09 to 0.89) and 0.46 (95% CI 0.27 to 0.79), respectively. Evaluative Procedure: Gently squeeze the fibula and tibia, gradually adding more pressure if no pain or other symptoms are elicited. When applied pressure elicits tenderness, Morton neuroma is … Pain with this test is a hallmark of a syndesmosis injury. 1998 Jul;19(7):489-92. A positive test is considered if the patient experiences pain in the area of the syndesmosis. Procedure Patient must be awake and cooperative in a Calcaneal Squeeze test. the examiner grasps the lower leg at midcalf and squeezes the tibia and fibula together. Position of Examiner: In front of athlete.

High intra-rater reliability was found for the squeeze, Cotton, dorsiflexion … Another test, called the squeeze test, is done by grabbing the calf just above the ankle joint and squeezing it. Also known as a "high ankle sprain " Epidemiology incidence 0.5% of all ankle sprains without fracture; 13% of all ankle fractures ... squeeze test (Hopkin's) compression of tibia and fibula at midcalf level causes pain at syndesmosis; external rotation stress test . Progress towards the injured site until pain is elicited.