Execution:
- Patient is in supine lying position
- The examiner squeezes the tibia and fibula together, starting from proximally and moving distally
Positive Outcome: Pain between the tibia and fibula, given that a fracture, contusion or compartment syndrome have been rule out. According to Nussbaum et al. (2002) the length above the malleloli indicates severity
| Study |
Reliability |
Sn | Sp | LR+ |
LR- |
| Sman et al. (2013) |
NA |
26 | 88 | 2.15 |
0.84 |
| De César et al. (2011) |
NA |
30 | 93.5 | 4.62 |
0.75 |
| Netterström-Wedin et al. (2021) |
NA |
NA | 85 (81-89) | NA |
NA |
| Comment: Although this test is weak as a stand-alone test, it is the most accurate specific test and helpful to confirm syndesmosis injury when there is a high level of suspicion | |||||
