The Talar Tilt Test is a common orthopedic test to be performed after an inversion trauma in order to assess the lateral ankle ligaments.
It assesses the lateral ligaments of the ankle in three different positions. This way, the anterior talofibular ligament, the calcaneofibular ligament as well as the posterior talofibular ligament can be assessed. In the fourth step, the test assesses the deltoid ligament complex on the medial side of the ankle.
According to Hertel et al. (1999) the talar tilt test has a sensitivity of 50% and a specificity of 88% in the diagnosis of lateral ankle sprains.
Rosen et al. (2015) rated the test on it’s ability to detect talocrural and subtalar joint instability by the degree of gapping and found a sensitivity of 4% and specificity values ranging from 78-88%. For this reason, the test’s clinical value is moderate.
To do the test, have your patient sitting with his knee hanging off of the table. In order to test the anterior talofibular ligament (aTFL), bring your patient’s foot into plantarflexion, so that the aTFL is perpendicular to the movement that you are going to perform. Then grab the calcaneus and perform inversion.
In order to test the calcaneofibular ligament (CFL), bring your patient’s foot into the anatomical position, so that this ligament is perpendicular to the long axis of the talus. Then bring the foot into inversion and eversion. The eversion part of this test, stresses the deltoid ligament complex on the medial side. And lastly, to put the most stress on the posterior talofibular ligament (pTFL), bring the foot into maximal dorsiflexion and perform the same movement again.
This test in different positions is considered positive, if the patient reports pain or if you find excessive gapping compared with the unaffected side.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Another common test to assess for ligament injuries at the ankle is the Anterior Drawer Test at the ankle.
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
This content is for members
Create your free account to gain access to this exclusive content and more!
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.