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Medial Talar Tilt Test

This is an excerpt from Special Tests in Orthopedics by Tamara C Valovich McLeod,Sandra J Shultz.

Other name for test: Inversion (varus) stress test

Used to assess: Integrity of calcaneofibular ligament

Patient position: Either long-sitting or supine

Clinician position: Standing at foot of table

Clinician’s stabilizing hand position: Stabilizing medial distal leg just above medial malleolus

Clinician’s test hand position: Grasping lateral foot along calcaneus to hold ankle in anatomical neutral position

Action performed: Adduct and invert calcaneus

Positive result: Pain and laxity

Accuracy: SN = .50 SP = .88 +LR = 4.00 −LR = .57

Hertel et al. 1999; Schwieterman et al. 2013

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