Talar Tilt Test

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 Talar Tilt Test


What is Talar Tilt Test?

Talar Tilt Test consists of two parts, Inversion Stress Test or Varus Stress Test and Eversion Stress Test or Valgus Stress Test:

See Also: Ankle Anatomy

How do you perform the Talar Tilt Test?

The patient lies supine or sits with both legs hanging from the edge of the examination table. The examiner grasps the patient’s calcaneus with one hand and keeps the foot in a neutral position. The other hand stabilizes the lower leg above the ankle:

Inversion Stress Test:

In Inversion Stress Test the thumb or the fingers palpate the calcaneofibular ligament. From this position and maximal dorsiflexion, the examiner inverts the foot at the ankle joint (hindfoot varus stress).

Talar Tilt Test
Inversion Stress Test

Eversion Stress Test:

In Eversion Stress Test, the thumb (or fingers) placed along the deltoid ligament to note any gapping between the talus and mortise. From this position, the examiner everts the foot (hindfoot valgus stress).

The laxity is compared to the contralateral side.

Talar Tilt Test
Eversion Stress Test

What does a positive Talar Tilt Test mean?

Visibly or palpably obvious strong angulation or a difference of more than 15° between both ankles associated with pain is suggestive of complete tears of lateral collateral ligament of the ankle or the deltoid ligament.

Talar Tilt Test Accuracy

A Clinical Trial study by A B Rosen for diagnostic accuracy of instrumented and manual talar tilt tests in chronic ankle instability populations, The sensitivity and Specificity was:

TestSensitivity Specificity
Inversion Stress Test (Medial Talar tilt test)49 %78 – 88 %
Eversion Stress Test (Lateral Talar tilt test)36 %72 – 94 %

Another Systematic review study by Braun Schwieterman found that the sensitivity and specificity of the medial talar tilt stress test was 50% and 88 % respectively.

Notes

Talar Tilt Test

References




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