What is the role of squeeze test in the evaluation of ankle sprains?

Updated: Jan 14, 2019
  • Author: Craig C Young, MD; Chief Editor: Sherwin SW Ho, MD  more...
  • Print
Answer

The fibular compression test, or squeeze test, is used if a syndesmotic or fibular injury is suspected. To perform the squeeze test, place the thumb on the tibia and the fingers on the fibula at the midpoint of the lower leg; then squeeze the tibia and fibula together. Pain down the length of the fibula indicates a positive test result. Note that pain should not be felt at the site of the pressure but rather in the lower leg. A positive test suggests a high ankle sprain (which involves the syndesmosis and tibiofibular ligaments and usually takes longer to heal than a lateral ankle sprain) or a Maisonneuve fracture of the proximal fibula. The squeeze test has a sensitivity of 30% and a specificity of 93.5% for a high ankle sprain. [5]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!