Beginning Athletic Medicine Ankle Evaluation Beginning Athletic Medicine

Observe & Compare 1. Remove clothing bilaterally (use discretion) 2. Deformity 3. Bleeding 4. Scars 5. Discoloration 6. Coloration 7. Swelling 8. Compare bilaterally (compare to other side) 9. Observe body movement 10. Observe shoes

Palpation Shaft of tibia Fibula 3. Dome of the Talus 1 2 3

Palpation Deltoid ligament 5. Anterior talofibular ligament 6. Calcaneofibular ligament 7. Anterior tibiofibular ligament 4 7 6 5

Palpation Peroneal longus (a) and brevis (b) tendons a a b

Palpation Tibialis anterior 10. Achilles tendon 9 10

Palpation Medial/Lateral Malleolus Styloid Process 13. Calcaneus 11 13 12 11 13

Palpation Tibialis Posterior Flexor Digitorum Longus 16. Flexor Hallucis Longus 15 16 14

Palpation Tibial Artery -- A Tibial Nerve -- N A N

Palpation Extensor Hallucis Longus 18. Extensor Digitorum Longus 18 17

Palpation 19. Calcaneal Bursa 19

Range of Motion Should be tested in active, passive, and resistive motions and compared bilaterally. 1. dorsiflexion 2. plantarflexion 3. inversion 4. eversion

Remember to compare bilaterally Stress Tests Remember to compare bilaterally 1. Anterior drawer 2. Eversion (Deltoid)--Talar Tilt 3. Inversion--Talar Tilt 4. Torsion/compression on malleoli (squeeze test) 5. Thompson test 6. Heel tap test (for fx)

Thompson Test