Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Combined dorsiflexion-eversion

Significance.

This is a specific test to demonstrate anterior periostitis of the fibula.

Positioning.

The knee is slightly flexed and the ankle in neutral position. The examiner is distal
to the foot. His ipsilateral hand supports the heel and the contralateral hand is placed against the plantar and lateral side of the foot.

Procedure.

Press the foot upwards and outwards with the heel of the contralateral hand until the end-feel is ascertained.

Common mistakes.

The movement is not executed firmly enough.

Common pathological situations
.

Lateral pain indicates the existence of periostitis of the inferior border of the fibula. Alternatively the pain is caused by impingement of a thickened, hypertrophied talofibular ligament.

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