Foot & Ankle Exam - Positives & Indicators

Question 1

Drawer SignAnterior Drawer Sign of the Ankle

Answer 1

Positive: Translation with the talus moving away from or toward the tibiaIndicates: 1.) With tibia pushed/foot pulled; a tear/instability of the anterior talofibular ligament2.) With tibia pulled/foot pushed; a tear/instability of posterior talofibular ligament

Question 2

Ankle Dorsiflexion Test

Answer 2

Positive: The foot cannot dorsiflex with knee extended, but is able to with knee flexedIndicates: Contracture of the gastrocnemius musclePositive: The foot cannot dorsiflex in either knee positionIndicates: Contracture of the soleus muscle

Question 3

Rigid or Supple Flat Feet Test

Answer 3

Positive: Absence of medial longitudinal arch in both positionsIndicates: Rigid flat feetPositive: Presence of medial longitudinal arch while seated with a loss of medial longitudinal arch while standingIndicates: Supple flat feet

Question 4

Homans Sign

Answer 4

Positive: Deep pain in the calfIndicates: Deep vein thrombophlebitis

Question 5

Thompson Test

Answer 5

Positive: Absence of foot plantarflexion motionIndicates: Achilles tendon rupture

Question 6

Morton Test

Answer 6

Positive: Sharp pain in the forefootIndicates: Metatarsalgia or neuroma (usually at the 3rd and 4th metatarsal interspace)