1. Beginning Athletic Medicine
Ankle Evaluation
Beginning Athletic Medicine

2. 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

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

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

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

8. Palpation
Tibialis anterior
10. Achilles tendon 9 10

9. Palpation Medial/Lateral Malleolus Styloid Process 13. Calcaneus 11 1312 11 13

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

11. Palpation
Tibial Artery -- A
Tibial Nerve -- N A N

12. Palpation Extensor Hallucis Longus 18. Extensor Digitorum Longus 18 17

13. Palpation
19. Calcaneal Bursa 19

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

15. 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)

19. Thompson Test