Matles Test: Difference between revisions
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== Search Strategy == | == Search Strategy == | ||
Finding information about the matles test is best done by searching databases such as [http://www.ncbi.nlm.nih.gov/pubmed/ PubMed] and Web of Knowledge. There are also several websites (e.g.[http://www.foothyperbook.com/trauma/achillesRupture/achillesRuptureClin.htm this one]) on which one can find similar information, although this doesn’t provide scientific proof.<br>Keywords or combinations of keywords that proved most successful were: Matles test, achilles rupture, achilles rupture diagnosis, achilles tendon trauma and tendon rupture. <br> | Finding information about the matles test is best done by searching databases such as [http://www.ncbi.nlm.nih.gov/pubmed/ PubMed] and Web of Knowledge. There are also several websites (e.g.[http://www.foothyperbook.com/trauma/achillesRupture/achillesRuptureClin.htm this one]) on which one can find similar information, although this doesn’t provide scientific proof.<br>Keywords or combinations of keywords that proved most successful were: Matles test, achilles rupture, achilles rupture diagnosis, achilles tendon trauma and tendon rupture. <br> | ||
== Definition/Description <ref name="Joske">John Kerr. Achilles Tendon Injury: Assessment and management in the emergency department. Advanced Emergency Nursing Journal: July/September 2007 - Volume 29 - Issue 3 - p 249-259. http://www.ncbi.nlm.nih.gov/pubmed/15912711 [1] Level of Evidence: C</ref> == | == Definition/Description <ref name="Joske">John Kerr. Achilles Tendon Injury: Assessment and management in the emergency department. Advanced Emergency Nursing Journal: July/September 2007 - Volume 29 - Issue 3 - p 249-259. http://www.ncbi.nlm.nih.gov/pubmed/15912711 [1] Level of Evidence: C</ref> == | ||
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Definition: The Matles Test is a visual diagnostic test for suspected [http://www.physio-pedia.com/index.php5?title=Achilles_Rupture rupture of the Achilles tendon]. | Definition: The Matles Test is a visual diagnostic test for suspected [http://www.physio-pedia.com/index.php5?title=Achilles_Rupture rupture of the Achilles tendon]. | ||
<br>Description: The patient lies in prone, active or passively flexing the knee to 90° with both feet and ankles in a neutral position according to the patient. When an absence of plantar flexion is observed, the test proves positive. The rupture will tend the foot more into dorsal flexion. <br> | <br>Description: The patient lies in prone, active or passively flexing the knee to 90° with both feet and ankles in a neutral position according to the patient. When an absence of plantar flexion is observed, the test proves positive. The rupture will tend the foot more into dorsal flexion. <br> | ||
[[Image:AngleOfDangle1.jpg]][[Image:MatlesTest1.jpg]] <ref name="Pietje">Pictures found on http://www.foothyperbook.com/trauma/achillesRupture/achillesRuptureClin.htm</ref> | [[Image:AngleOfDangle1.jpg]][[Image:MatlesTest1.jpg]] <ref name="Pietje">Pictures found on http://www.foothyperbook.com/trauma/achillesRupture/achillesRuptureClin.htm</ref> | ||
== Clinically Relevant Anatomy <ref name="Jefke">Schünke M, Schulte E, Schumacher U, Voll M, Wesker K. Prometheus anatomy. Houten: Bohn Stafleu van Loghum, 2005.</ref> == | == Clinically Relevant Anatomy <ref name="Jefke">Schünke M, Schulte E, Schumacher U, Voll M, Wesker K. Prometheus anatomy. Houten: Bohn Stafleu van Loghum, 2005.</ref> == | ||
The Achilles Tendon consists of 2 major muscles: the '''Gastrocnemius '''and the '''Soleus'''. Sometimes the '''Plantaris '''muscle is also present. This is a small muscle in the Popliteal which has a very long tendon and inserts together with the Soleus and Gastrocnemius muscle on the back of the heel bone (Calcaneus). | The Achilles Tendon consists of 2 major muscles: the '''Gastrocnemius '''and the '''Soleus'''. Sometimes the '''Plantaris '''muscle is also present. This is a small muscle in the Popliteal which has a very long tendon and inserts together with the Soleus and Gastrocnemius muscle on the back of the heel bone (Calcaneus). | ||
<br> | <br> | ||
[[Image:Calf.jpg]] | [[Image:Calf.jpg]] | ||
<br> | <br> | ||
This general insertion is known as the'''Achilles tendon.''' | This general insertion is known as the'''Achilles tendon.'''<br> | ||
== Examination <ref name="Josephine">Nicola Maffulli. The Clinical Diagnosis of Subcutaneous Tear of the Achilles Tendon: A Prospective Study in 174 Patients. The American Journal of Sports Medecine, Vol. 26, No. 2, 1998. http://www.ncbi.nlm.nih.gov/pubmed/9548122 [3] (Level of evidence: C)</ref> == | |||
== Examination <ref name="Josephine">Nicola Maffulli. The Clinical Diagnosis of Subcutaneous Tear of the Achilles Tendon: A Prospective Study in 174 Patients. The American Journal of Sports Medecine, Vol. 26, No. 2, 1998. http://www.ncbi.nlm.nih.gov/pubmed/9548122 [3] (Level of evidence: C)</ref> == | |||
If awake, the patient is asked to lie in prone and actively flex their knees to 90°. If locally anesthetized, the examiner passively flexes the knees. The position of the ankles and feet has to be observed by the examiner. The '''uninjured '''foot remains in '''slight plantar flexion'''. When the patient suffers from an '''Achilles tendon rupture''', the foot will fall into neutral position or even into '''dorsiflexion'''. | If awake, the patient is asked to lie in prone and actively flex their knees to 90°. If locally anesthetized, the examiner passively flexes the knees. The position of the ankles and feet has to be observed by the examiner. The '''uninjured '''foot remains in '''slight plantar flexion'''. When the patient suffers from an '''Achilles tendon rupture''', the foot will fall into neutral position or even into '''dorsiflexion'''. | ||
This is an observation test, no further palpation or movement is required. | This is an observation test, no further palpation or movement is required. | ||
== Physical Therapy Management <br> == | == Physical Therapy Management <br> == | ||
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add text here <br> | add text here <br> | ||
== Key Research <ref name="Josephine">Nicola Maffulli. The Clinical Diagnosis of Subcutaneous Tear of the Achilles Tendon: A Prospective Study in 174 Patients. The American Journal of Sports Medecine, Vol. 26, No. 2, 1998. http://www.ncbi.nlm.nih.gov/pubmed/9548122 [3] (Level of evidence: C)</ref> == | == Key Research <ref name="Josephine">Nicola Maffulli. The Clinical Diagnosis of Subcutaneous Tear of the Achilles Tendon: A Prospective Study in 174 Patients. The American Journal of Sports Medecine, Vol. 26, No. 2, 1998. http://www.ncbi.nlm.nih.gov/pubmed/9548122 [3] (Level of evidence: C)</ref> == | ||
Along with the calf squeeze test, the Matles test has proven the '''most accurate to sensitivity''' compared to other tests, such as the gap palpation test, the Copeland and the O’brien test. (Level of evidence: C) | Along with the calf squeeze test, the Matles test has proven the '''most accurate to sensitivity''' compared to other tests, such as the gap palpation test, the Copeland and the O’brien test. (Level of evidence: C) | ||
<br>It has also shown a '''high positive predictive value '''but no significant difference was established between the previously mentioned tests. (Level of evidence: C)<br> | <br>It has also shown a '''high positive predictive value '''but no significant difference was established between the previously mentioned tests. (Level of evidence: C)<br> | ||
== Clinical Bottom Line == | == Clinical Bottom Line == | ||
Revision as of 09:47, 11 May 2011
Original Editors - Nick Libotton
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Search Strategy[edit | edit source]
Finding information about the matles test is best done by searching databases such as PubMed and Web of Knowledge. There are also several websites (e.g.this one) on which one can find similar information, although this doesn’t provide scientific proof.
Keywords or combinations of keywords that proved most successful were: Matles test, achilles rupture, achilles rupture diagnosis, achilles tendon trauma and tendon rupture.
Definition/Description [1][edit | edit source]
Definition: The Matles Test is a visual diagnostic test for suspected rupture of the Achilles tendon.
Description: The patient lies in prone, active or passively flexing the knee to 90° with both feet and ankles in a neutral position according to the patient. When an absence of plantar flexion is observed, the test proves positive. The rupture will tend the foot more into dorsal flexion.
Clinically Relevant Anatomy [3][edit | edit source]
The Achilles Tendon consists of 2 major muscles: the Gastrocnemius and the Soleus. Sometimes the Plantaris muscle is also present. This is a small muscle in the Popliteal which has a very long tendon and inserts together with the Soleus and Gastrocnemius muscle on the back of the heel bone (Calcaneus).
This general insertion is known as theAchilles tendon.
Examination [4][edit | edit source]
If awake, the patient is asked to lie in prone and actively flex their knees to 90°. If locally anesthetized, the examiner passively flexes the knees. The position of the ankles and feet has to be observed by the examiner. The uninjured foot remains in slight plantar flexion. When the patient suffers from an Achilles tendon rupture, the foot will fall into neutral position or even into dorsiflexion.
This is an observation test, no further palpation or movement is required.
Physical Therapy Management
[edit | edit source]
add text here
Key Research [4][edit | edit source]
Along with the calf squeeze test, the Matles test has proven the most accurate to sensitivity compared to other tests, such as the gap palpation test, the Copeland and the O’brien test. (Level of evidence: C)
It has also shown a high positive predictive value but no significant difference was established between the previously mentioned tests. (Level of evidence: C)
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
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References[edit | edit source]
see adding references tutorial.
- ↑ John Kerr. Achilles Tendon Injury: Assessment and management in the emergency department. Advanced Emergency Nursing Journal: July/September 2007 - Volume 29 - Issue 3 - p 249-259. http://www.ncbi.nlm.nih.gov/pubmed/15912711 [1] Level of Evidence: C
- ↑ Pictures found on http://www.foothyperbook.com/trauma/achillesRupture/achillesRuptureClin.htm
- ↑ Schünke M, Schulte E, Schumacher U, Voll M, Wesker K. Prometheus anatomy. Houten: Bohn Stafleu van Loghum, 2005.
- ↑ 4.0 4.1 Nicola Maffulli. The Clinical Diagnosis of Subcutaneous Tear of the Achilles Tendon: A Prospective Study in 174 Patients. The American Journal of Sports Medecine, Vol. 26, No. 2, 1998. http://www.ncbi.nlm.nih.gov/pubmed/9548122 [3] (Level of evidence: C)
