Posterior tibial length test/Patla posterior tibial test

Wikis > Biomechanics > Clinical Biomechanics > Biomechanical Assessment > Posterior tibial length test/Patla posterior tibial test

Posterior tibial length test/Patla posterior tibial test:
Used to evaluate heel pain/ankle pain that may be due to pre-stage 1 posterior tibial dysfunction. Patient prone. Knee flexed to 90º. One hand of examiner grasps calcaneus to invert STJ and dorsiflex ankle. The index and middle fingers of other hand are placed on plantar surface of navicular and thumb is placed on bases of metatarsals 2 to 3. Apply dorsiflexion force with fingertips while maintaining STJ everted and ankle dorsiflexed. Assess quality of end range of motion – compare to other side – note any symptoms that patient reports  positive test if symptoms reproduced. Can get false positive if STJ or ankle range of motion restricted.

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