Squeeze Test

Purpose

The purpose of the squeeze test is to aid in the diagnosis of syndesmotic ankle sprains.

Technique

The squeeze test compresses the proximal fibula against the tibia to assess the integrity of the bones, interosseus membrane, and syndesmotic ligaments. Pain occurs with fracture or diastasis and is considered positive.[1][2]

[3]


Evidence

The squeeze test has been found to have moderate reliability (kappa = 0.50) according to a study performed by Alonso et al.[4]

Resources

'A biochemical analysis of the squeeze test for sprains of the syndesmotic ligaments of the ankle.' Pesquisa

References

  1. Birrer RB, Fani-Salek MH, Totten VY et al. Managing ankle injuries in the emergency department. The Journal of Emergency medicine. 1999;17:651-660.
  2. Brosky T, Nyland J, Nitz A et al: The ankle ligaments: consideration of syndesmotic injury and implications for rehabilitation, J Orthop Sports Phys Ther 21:197-205, 1995.
  3. Physaiotutors. The Syndesmosis Squeeze Test | Syndesmosis Injury. Available from: https://www.youtube.com/watch?v=ANgWSz0UoDg
  4. Alonso A,Khoury L, Adams R. Clinical tests for ancle syndesmosis injury: reliability and prediction of return to function. J Orthop Sports Phys Ther. 1998 Apr;27(4):276-84.