{"id":13279,"date":"2022-12-06T15:36:38","date_gmt":"2022-12-06T14:36:38","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=13279"},"modified":"2022-12-06T15:36:38","modified_gmt":"2022-12-06T14:36:38","slug":"fulcrum-test-tibia","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/fulcrum-test-tibia\/","title":{"rendered":"Fulcrum Test Tibia"},"featured_media":13280,"template":"","class_list":["post-13279","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":13280,"background_image_alt_text":"Fulcrum Test Tibia"},"heading":"Fulcrum Test Tibia | Tibial Stress Fracture Screening","subheading":"Ankle & Foot Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Fulcrum Test Tibia | Tibial Stress Fracture Screening<\/h2>\nMedial tibial pain is a very common symptom in athletic and military populations. The presence of pain in this area usually means one of two things: Medial tibial stress syndrome or a medial tibial stress fracture. The latter is by far of most concern to healthcare providers as absolute rest might be indicated to prevent the stress fracture from evolving into a frank fracture of one cortex. While stress fractures and MTSS have commonalities, there are a couple of history items that can be used to distinguish them from each other. Furthermore, orthopedic tests can be used to help with the diagnosis. One such test is the fulcrum test at the tibia.\n\nAccording to a study by Milgrom et al. (2021)<\/a> the fulcrum test had a sensitivity of 52% and a specificity of 70%. For this reason, its clinical value as a stand-alone test is weak.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=d27bQCzseYM[\/embed]\n\n<\/div>\nTo perform this test, have your patient in the supine position. Then, the examiner places his or her knee against the lateral border of the lower limb at the midshaft of the tibia that is used as a fulcrum. Now, grip the inside of the patient\u2019s lower leg just below the knee with one hand and just above the ankle with your other hand and forcefully press the tibia against your knee.\n\nThis maneuver produces a tension force on the medial tibial cortex. This test is positive if pain is reproduced at the medial tibia.\n\n[cta]\n\nOther orthopedic tests to assess for stress fractures are:\n