Testing for:
Anterior Talofibular Ligament injury and/ or ligamentous instability
Procedure:
- Patient is supine with foot relaxed
- Therapist stabilizes tibia and fibula with one hand
- With the Patient’s foot plantar flexed to 20 degrees, the therapist holds the patient’s calcaneus with other hand then distracts the calcaneus from the tibia and fibula (by slowly pulling the calcanues inferiorly)
- Therapist places an anteriorly directed pressure on the calcaneus and talus, applying overpressure at the end of the passive range (stressing the Anterior Talofibular ligament)
Positive Sign:
Ligamentous laxity or rupture with Presence of sulcus and pain, and/ or Excessive anterior translation of the talus, sometimes accompanied by audible thunking
Bryson Ingram R.M.T. 