The following tests should be performed in the case of an inversion trauma<\/strong><\/span>.<\/span><\/p>\n\n<\/iframe><\/p>\n<hr \/>\n<h3><span style=\"text-decoration: underline;\"><span style=\"color: #003366;\"><strong>Inversion Stress Test Or \u2018Talar Tilt\u2019 Test<\/strong><\/span><\/span><\/h3>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">The patient sits on an examination table with the lower legs dangling down and no weight bearing on the feet.<\/span><\/li>\n<li><span style=\"color: #003366;\">Stabilise the distal lower leg with one hand just above the <span style=\"color: #33cccc;\"><strong>talocrural joint<\/strong><\/span> and place the thumb at the height of the <span style=\"color: #33cccc;\"><strong>sinus tarsi<\/strong><\/span> <em><strong>[Figure 140]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">With the other hand, take hold of the <span style=\"color: #33cccc;\"><strong>calcaneus<\/strong><\/span> in the neutral position and apply inversion pressure<em><strong> [Figure 140]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Note:<\/span>\n<ul>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Abnormal mobility<\/strong><\/span> in the talocrural joint (<em>anterior talotibular ligament<\/em>) and\/or the subtalar joint (<em>cavities on the lateral side, and\/or laxity<\/em>) (<em>interosseal calcaneum ligament, calcaneofibular ligament<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Muscular defence<\/strong><\/span> (<em>by the peroneal muscles<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Tenderness<\/strong><\/span> (<em>location, nature<\/em>).<\/span><\/li>\n<\/ul>\n<\/li>\n<li><span style=\"color: #003366;\">During this test compare left and right.<\/span><\/li>\n<li><span style=\"color: #003366;\">The occurrence of one or more of the previously mentioned phenomena increases the probability of a rupture of the anterior talofibular ligament and\/or the interosseal calcaneum ligament and\/or the calcaneofibular ligament.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><strong><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1311\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-140.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-140.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-140-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 140<\/span><\/span><\/strong><\/p>\n<hr \/>\n<h3><span style=\"text-decoration: underline;\"><span style=\"color: #003366;\"><strong>Anterior Drawer Sign (ADS) Test<\/strong><\/span><\/span><\/h3>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">The patient sits on an examination table with the lower legs dangling and no weight bearing on the feet.<\/span><\/li>\n<li><span style=\"color: #003366;\">Stabilise the distal lower leg with one hand just above the talocrural joint.<\/span><\/li>\n<li><span style=\"color: #003366;\">Take hold of the calcaneus with the other hand, and in doing this bring the foot into slight plantar flexion. <\/span><\/li>\n<li><span style=\"color: #003366;\">During this the foot concerned should rest on your forearm. With this hand apply a force in a ventral direction <em><strong>[Figure 141]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Note:<\/span>\n<ul>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Abnormal mobility<\/strong><\/span> in the talocrural joint (<em>the talus moves ventrally with respect to the tibia<\/em>) (<em>instability and\/or laxity<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Muscular defence<\/strong><\/span> (<em>by the extensors<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Tenderness<\/strong><\/span> (<em>localisation, nature<\/em>).<\/span><\/li>\n<\/ul>\n<\/li>\n<li><span style=\"color: #003366;\">During this test compare left and right. <\/span><\/li>\n<li><span style=\"color: #003366;\">The occurrence of one or more of the previously mentioned phenomena increases the probability of a rupture of the anterior talofibular ligament.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><strong><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1312\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-141.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-141.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-141-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 141<\/span><\/span><\/strong><\/p>\n<hr \/>\n<p> <\/p>\n","protected":false},"excerpt":{"rendered":"<p>The following tests should be performed in the case of an inversion trauma. Inversion Stress Test Or \u2018Talar Tilt\u2019 Test Procedure The patient sits on an examination table with the lower legs dangling down and no weight bearing on the feet. Stabilise the distal lower leg with one hand just above the talocrural joint and […]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[71],"tags":[144],"class_list":["post-1313","post","type-post","status-publish","format-standard","hentry","category-the-foot-and-the-ankle","tag-the-examination-of-the-lower-extremities"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stability Examination - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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<\/iframe><\/p>\n<hr \/>\n<h3><span style=\"text-decoration: underline;\"><span style=\"color: #003366;\"><strong>Inversion Stress Test Or \u2018Talar Tilt\u2019 Test<\/strong><\/span><\/span><\/h3>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">The patient sits on an examination table with the lower legs dangling down and no weight bearing on the feet.<\/span><\/li>\n<li><span style=\"color: #003366;\">Stabilise the distal lower leg with one hand just above the <span style=\"color: #33cccc;\"><strong>talocrural joint<\/strong><\/span> and place the thumb at the height of the <span style=\"color: #33cccc;\"><strong>sinus tarsi<\/strong><\/span> <em><strong>[Figure 140]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">With the other hand, take hold of the <span style=\"color: #33cccc;\"><strong>calcaneus<\/strong><\/span> in the neutral position and apply inversion pressure<em><strong> [Figure 140]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Note:<\/span>\n<ul>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Abnormal mobility<\/strong><\/span> in the talocrural joint (<em>anterior talotibular ligament<\/em>) and\/or the subtalar joint (<em>cavities on the lateral side, and\/or laxity<\/em>) (<em>interosseal calcaneum ligament, calcaneofibular ligament<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Muscular defence<\/strong><\/span> (<em>by the peroneal muscles<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Tenderness<\/strong><\/span> (<em>location, nature<\/em>).<\/span><\/li>\n<\/ul>\n<\/li>\n<li><span style=\"color: #003366;\">During this test compare left and right.<\/span><\/li>\n<li><span style=\"color: #003366;\">The occurrence of one or more of the previously mentioned phenomena increases the probability of a rupture of the anterior talofibular ligament and\/or the interosseal calcaneum ligament and\/or the calcaneofibular ligament.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><strong><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1311\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-140.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-140.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-140-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 140<\/span><\/span><\/strong><\/p>\n<hr \/>\n<h3><span style=\"text-decoration: underline;\"><span style=\"color: #003366;\"><strong>Anterior Drawer Sign (ADS) Test<\/strong><\/span><\/span><\/h3>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">The patient sits on an examination table with the lower legs dangling and no weight bearing on the feet.<\/span><\/li>\n<li><span style=\"color: #003366;\">Stabilise the distal lower leg with one hand just above the talocrural joint.<\/span><\/li>\n<li><span style=\"color: #003366;\">Take hold of the calcaneus with the other hand, and in doing this bring the foot into slight plantar flexion. <\/span><\/li>\n<li><span style=\"color: #003366;\">During this the foot concerned should rest on your forearm. With this hand apply a force in a ventral direction <em><strong>[Figure 141]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">Note:<\/span>\n<ul>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Abnormal mobility<\/strong><\/span> in the talocrural joint (<em>the talus moves ventrally with respect to the tibia<\/em>) (<em>instability and\/or laxity<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Muscular defence<\/strong><\/span> (<em>by the extensors<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Tenderness<\/strong><\/span> (<em>localisation, nature<\/em>).<\/span><\/li>\n<\/ul>\n<\/li>\n<li><span style=\"color: #003366;\">During this test compare left and right. <\/span><\/li>\n<li><span style=\"color: #003366;\">The occurrence of one or more of the previously mentioned phenomena increases the probability of a rupture of the anterior talofibular ligament.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><strong><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1312\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-141.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-141.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-141-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 141<\/span><\/span><\/strong><\/p>\n<hr \/>\n<p> <\/p>\n","protected":false},"excerpt":{"rendered":"<p>The following tests should be performed in the case of an inversion trauma. Inversion Stress Test Or \u2018Talar Tilt\u2019 Test Procedure The patient sits on an examination table with the lower legs dangling down and no weight bearing on the feet. Stabilise the distal lower leg with one hand just above the talocrural joint and […]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[71],"tags":[144],"class_list":["post-1313","post","type-post","status-publish","format-standard","hentry","category-the-foot-and-the-ankle","tag-the-examination-of-the-lower-extremities"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stability Examination - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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