Execution:
- Patient is in sitting position with the knee hanging off the table with 90° of knee flexion
- The examiner grabs onto the foot from the sole and brings the talocrural joint into maximal dorsiflexion and maximal external rotation
Positive Outcome: Anterolateral pain over the syndesmosis is reproduced
Study |
Reliability |
Sn | Sp | LR+ |
LR- |
Sman et al. (2013) |
NA |
71 | 63 | 1.93 |
0.46 |
Netterström-Wedin et al. (2021) |
NA |
NA | 78 (73-82) | NA |
NA |
Comment: Although this test is weak as a stand-alone test, it is the most accurate test to detect syndesmosis injury |