What is the role of a tilt test in the evaluation of peroneal tendon injury?

Updated: Mar 07, 2018
  • Author: Steven J Karageanes, DO, FAOASM; Chief Editor: Craig C Young, MD  more...
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Answer

Tilt test is performed as follows:

  • With the patient seated on the edge of the table with his or her legs dangling, hold the distal tibia stable with your nondominant hand.

  • With the dominant hand holding the calcaneus, attempt to open the lateral ankle compartment.

  • Opening indicates an injury to the calcaneofibular ligament.

See the image below.

Tilt test. The operator tilts the talus and calcan Tilt test. The operator tilts the talus and calcaneus, not the forefoot. This assesses the integrity of the calcaneofibular ligament. From Karageanes SJ. Principles of Manual Sports Medicine, Lippincott Williams & Wilkins, 2005.

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