Special Tests/Ligamentous Testing

Question 1

feiss line

Answer 1

-dot on distal end of medial malleolus and head of first metatarsal, and on the navicular tubercle, draw a line
-above the line per cavus (high arch)
-below the line per planes (flat foot)

Question 2

navicular drop test

Answer 2

-dot on the navicular tubercle, non weight bearing- have them weight bear and see if it dries
-pes planus diagnosis
-if fall is greater than 10mm, positive for functional pes planus

Question 3

supple pes planus

Answer 3

have patient non weight bear, identify the presence of medial longitudinal arch, then stand bearing weight, is there still a space, have patient go on their toes , is the arch still there
-pain during arch and arch disappears

Question 4

interdigital neuroma

Answer 4

-grab 2 metatarsal heads and squeeze them together, doing an anterior and posterior shear
-usually seen 3rd and 4th metatarsal
-morton’s neuroma- an irritated bundle of nerves
-pain, tingling, burning and pain

Question 5

tarsal tunnel

Answer 5

-tibial nerve runs, you tap; looking for numbness, tingling burning and pain
-tibial nerve irritation
-an irritation or inflammation of tibial nerve

Question 6

anterior drawer test

Answer 6

-one hand stabilizing tip/fib area, other hand is pulling ankle forward
-for the anterior talofibular ligament
-looking for laxity, pain in the sinus tarsi where the ATF is