![]() |
![]() |
![]() |
![]() |
Ankle and Lower Leg | |||
History Location of the pain Nature of the pain Onset Injury mechanisms Level of activity and conditioning regimen Prior history Inspection General Inspection WTB status General bilateral comparison Swelling Lateral Structures Peroneal muscle group Distal one-third of the fibula Lateral malleolus Anterior Structures Appearance of the anterior lower leg Contour of the malleoli Talus Sinus tarsi Medial Structures Medial malleolus Medial longitudinal arch Posterior Structures Gastrocnemius-soleus complex Atrophy (S1 or S2 nerve root or tibial or sciatic nerves are impaired) Deep vein thrombophlebitis (Unexpected redness and swelling of the posterior calf) Achilles tendon Bursae Calcaneus Palpation Lateral Structures Fibula shaft Interosseous membrane Anterior and posterior tibiofibular ligaments Calcaneofibular ligament Anterior talofibular ligament Posterior talofibular ligament Peroneal tubercle Cuboid Base of the fifth metatarsal Peroneus longus and brevis Peroneal retinaculum Anterior Structures Anterior tibial shaft Dome of the talus Extensor retinacula Sinus tarsi Tibialis anterior Long toe extensors Peroneus tertius Medial Structures Medial malleolus Deltoid ligament Sustentaculum tali Spring ligament Navicular and Navicular tubercle Talar head Tibialis posterior Long toe flexors Posterior Structures Gastrocnemius-soleus complex Achilles tendon Subtendinous calcaneal bursa Subtaneous calcaneal bursa Dome of the Calcaneus Palpation of pulses Posterior tibial artery Dorsalis Pedis artery Range of Motion Tests AROM/PROM/RROM (Dorsiflexion, Plantarflexion, Inversion, Eversion) Ligamentous Tests Anterior Talofibular Ligament Instability Anterior drawer test Calcaneofibular Ligament Instability Inversion stress test (talar tilt) Ankle Syndesmosis Instability Kleiger’s Test (External rotation test) Squeeze test Deltoid Ligament Instability Eversion stress test (talar tilt) External rotation test Neurological Tests Anterior compartment syndrome Peroneal nerve involvement Sciatic nerve involvement Lumbar nerve root involvement Special Tests Lower Leg Fractures Squeeze test Stress Fracture Bump test Achilles Tendon Pathology Thompson test Neurovascular Pathology Homan’s sign (Test for Deep Vein Thrombophlebitis) |