Execution:
- The patient is in supine lying position and the examiner gives traction at both feet to ensure they are in the same position
- While the examiner palpates the distal part of both malleoli, the patient is asked to flex the hips to about 45° and knees to 90° and to lift the buttock from the bench
- The examiner then passively extends the patient’s legs and brings both feet together while comparing the position of both malleoli with the thumbs
Positive Outcome: Different levels indicate asymmetry
| Study | Reliability | Sn | Sp | LR+ | LR- |
| Gomez-Aguilar et al. (2020): compared to telemetry |
κ=0.52 | NA | NA | NA | NA |
