Athletic Training & Sports Medicine Center

  

Examination Links:

  • Alphabetical Listing
of Examinations
  • Head
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    • Neurological control
 - upper limb
    • Neurological control
 - lower limb
    • Tandem Test
    • Finger-to-nose test
    • Finger-thumb test
    • Hand flip test
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    • Hand-thigh test
    • Past pointing test
    • Heel-to-knee test
    • Proprioceptive Movement
 Test
    • Proprioceptive Space Test
  • Cervical Spine
    • Spurling's Test
    • Distraction
    • Quandrant
    • Tinels' Sign
  • Thoracic Spine
    • Sagittal Plane ROM Test
    • Frontal Plane ROM Test
    • Transverse Plane ROM Test
  • Lumbar Spine
    • Straight Leg Raise Test
    • Sciatic Nerve Palpation Test
    • Bowstring Test
    • Slump Test
  • Shoulder
    • Apley Scratch Test
    • Apprehension Test
    • Relocation Test
    • Anterior Instability Test
    • Anterior/Posterior Translation
 Test
    • Sulcus Sign
    • Posterior G-H Instability Test
    • Inferior Drawer (Feagin) Test
    • Neer Impingement Test
    • Hawkins Kennedy
Impingement Test
    • Empty Can Test
    • Internal Rotation Strength
Test
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Test
    • Glenoid Labrum Clunk Test
    • Andrews Anterior Instability
Test
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    • Prone Posterior Instability 
Test
    • Push Pull Test
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    • Jerk Sign or Jahnke Test
    • Load & Shift Test
    • Acromioclavicular Joint
Stability Test
    • Cross Chest 
(Horizontal Adduction) Test
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Integrity Test
    • Speed's Test
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    • Drop Arm Test
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  • Elbow & Radioulnar
    • Valgus Test 00
    • Valgus Test 300
    • Valgus Test 900
    • Miking Sig
    • Cross Arm Valgus
 Stress Test
    • Varus Test 00
    • Varus Test 300
    • Tinel Sign
    • Lateral Compression Test
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    • Cozen Test
    • Mills Test
    • Distal Radioulnar Instability 
Test
  • Wrist
    • Finkelstein's Test
    • Anatomical Snuff Box
Compression Test
    • Phalen's Test or Wrist Press 
Test
    • Tinel Sign
  • Hand & Fingers
    • Murphy's Signr
    • Boutonniere Deformity Test
    • Mallet Finger Test
    • Flexor Digitorum Superficialis
 Test
    • Flexor Digitorum Profundus
 Test
    • Gamekeeper's Thumb Test
    • MCP Radial Collateral 
Ligament Stress Test
    • MCP Ulnar Collateral 
Ligament Stress Test
    • PIP Radial Collateral 
Ligament Stress Test
    • PIP Ulnar Collateral 
Ligament Stress Test
    • DIP Radial Collateral 
Ligament Stress Test
    • DIP Ulnar Collateral 
Ligament Stress Test
    • Bunnel-Littler Test
    • Retinacular Test
    • Allen Test
  • Sacroiliac Joint
    • Ipsilateral Prone Kinetic Test
    • FABER Test
    • Passive Extension & Internal 
Rotation of Ilium on Sacrum
    • Passive Flexion & External 
Rotation of Ilium on Sacrum
    • Passive External Rotation 
of Hip
    • Pelvic Rocking Test
    • Gapping Test
    • Prone Gapping (Hibb's) Test
    • Approximation Test
    • Squish Test
      Sacroiliac Rocking Test
    • Sacral Apex Pressure Test
    • Torsion Stress Test
    • Femoral Shear Test
    • Superoinferior Symphysis
Pubic Stress Test
    • Piedallu's Sign
    • Flamingo Maneuver or Test
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    • Mazion's Pelvic Maneuver
    • Yeoman's Test
    • Sit-up Test
  • Hip & Thigh
    • Scouring (Quandrant) Test
    • FABER Test
    • Trendelenburg Test
    • Craig's Test
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    • Stinchfield Test
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    • Sign of the Buttock
    • Ely's Test
    • Hamstring Contracture Test 1
    • Tripod Test
    • 90-90 Straight Leg Test
    • Phelp's Test
  • Knee
    • Gravity Sign
    • Active Posterior/Anterior 
Drawer Test
    • Posterolateral Drawer Test
    • Lachman
      • Tradiional
      • Thigh Assisted
      • Drop Leg
      • Table Side
      • Table End
      • Prone
      • Active
    • Posterolateral Drawer Test
    • Figure 4 Palpation
    • McMurray's Test
    • Apley's Grind Test
    • Lateral Compression Test
    • Medial Compression Test
    • Jerk Test of Hughston
    • Pivot Shift Test
    • External Rotation 
Recurvatum Test
    •  
  • Lower Leg
  • Ankle
  • Foot
    • Morton Test
    •  
  • Range of Motion
  • Goniometry
  • Manual Muscle Testing
  • Reflexes
  • Vital Signs
  • Body Composition

 

Talar Tilt Test
Examination type ligamentous stress
Patient & Body Segment Positioning The subject is short sitting on a table with the involved foot relaxed and the knee flexed to 90 degrees.
Examiner Position The examiner stabilizes the distal tibia with one hand while grasping the talus with the other hand.
Tissues Being Tested calcaneofibular ligament, peroneal tendons, syndesmosis.
Performing the Test The examiner first places the foot in the anatomical position. The examiner then inverts the talus until pain or apprehension is showed by the athlete.  The test should be done bilaterally to see if ligamentous stability is the same on each side.
Positive Test

If the range of motion in the adducted position on the involved foot greater than that of the noninvolved foot reveals a positive test. This may be indicative for a tear of the calcaneofibular ligament of the ankle.
Interpretation

The talar tilt test is performed by tilting the foot and looking for a suction sign or asymmetrical movement.
Common errors in performing exam Not performing the test in all the different ranges of motion plantarflexion, dorsiflexion, and neural. 
Factors possibly resulting in misinterpretation The knee is flexed to 90 degrees to reduce the tension on the gastrocnemuis muscle. This test should be performed bilaterally for comparison. Performing this test with a foot in a more plantar flexed position places less stress on the calcaneofibular ligament and instead may stress the anterior talofibular ligament. Swelling within the ankle joint may reduce the ability to translate the talus anteriorly
Related tests  Anterior draw test
References

 Hockenbury, Todd R., MD; G. James Sammarco, MD. " Evaluation and Treatment of Ankle Sprains."  THE PHYSICIAN AND SPORTSMEDICINE. Vol. 29 No. 2.  February 2001. 12 February  2006. < http://www.physsportsmed.com/issues/2001/02_01/hockenbury.htm>.
Links:

http://www.hope.edu/academic/kinesiology/athtrain/program/studentprojects/Ldornbos2/ankleandfoot/sld008.htm

http://www.blackburnfeet.org.uk/hyperbook/trauma/ankle%20ligament%20injuries.htm

http://www.physsportsmed.com/issues/2001/02_01/hockenbury.htm

 
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