Impingement sign ankle

Original Editor - Melissa Billy Stavrakis, MPT

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Purpose
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Test for anterior impingement of the talocrural joint.

Technique
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Clinician facing patient in seated position.  Clinician grasps the calcaneus with the hand on the lateral side of the foot with fingers around the calcaneal tuberosity and thumb over the anterolateral portion of the ankle.  The medial hand grasps the forefoot.  Initially the foot is held in plantarflexion.   While pressure is applied with the examining thumb, the foot is brought from a plantarflexed position to full dorsiflexion.


Positive Test:  Pain reproduced from combined movement with thumb pressure and pain is greater in dorsiflexion than in plantarflexion.


Negative Test:  Pain is not increased with combined movement.

[1]

Evidence[edit | edit source]

Sensitivity =  94.8%    -LR = .06


Specificity =  88%     +LR = 7.9[2]

Resources[edit | edit source]

add any relevant resources here

Recent Related Research (from Pubmed)[edit | edit source]

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Anteromedial impingement of the ankle: using MR arthrography to assess the anteromedial recess.
Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain.

[[Anterolateral fibrous impingement of the ankle. Report of 14 cases]|Anterolateral fibrous impingement of the ankle. Report of 14 cases]]]

Anterolateral impingement of the ankle.

Diagnosis of anterolateral ankle impingement. Comparison between magnetic resonance imaging and clinical examination.

References[edit | edit source]

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  1. Malloy S, Solan MC, Bendall SP. Synovial impingement in the ankle. A new physical sign. J Bone Joint Surg Br 2003;85(3):330-333.
  2. Flynn TW, Cleland JA, Whitman JM. Users' guide to the musculoskeletal examination: fundamentals for the evidence based clinician. United States; Evidence in Motion:2008.

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