Cotton Test

Execution:

  1. Patient is in supine lying position
  2. The examiner then stabilizes the distal tibia and fibula with one hand
  3. With the other hand the examiner applies a lateral translation force to the ankle by holding onto the calcaneus

 

Positive Outcome: Lateral translation of the ankle, which should be absent with an intact syndesmosis (compare to the other side)

Study

Reliability

Sn Sp LR+

LR-

Beumer et al. (2002)

NA

25 NA NA

NA