Kleiger’s Test |
Examination type |
ligamentous
|
Patient & Body Segment Positioning |
The subject is
short sitting at the end of the examining table with the legs
over the edge of the table. |
Examiner Position |
Sitting beside
involved side lower leg of patient |
Tissues
Being Tested |
Deltoid
ligament and distal syndesmosis |
Performing the Test |
The examiner
stabilizes the lower leg with one hand, and the other hand
grasps the medial aspect of the foot while supporting the ankle
in a neutral position. The foot is externally rotated and
dorsiflexed to stress the syndesmosis or the deltoid ligament. |
Positive Test |
Medial pain indicates trauma to the deltoid ligament. Pain in
the anterolateral ankle should be considered syndesmosis
pathology unless otherwise stated. |
Interpretation |
Distal
tibiofibular syndesmosis or deltoid ligament sprain. |
Common errors in
performing exam |
not stabilizing
lower leg effectively, not giving enough eversion or
dorsiflexion. Starting with the foot not in neural.
|
Factors possibly
resulting in misinterpretation |
Swelling, pain,
not asking the patient to be specific enough as to where the
pain is located. |
Related tests |
Eversion stress
test |
References |
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