Deltoid Ligament Test

 Deltoid Ligament Test

  • Deltoid Ligament Test is used to assess the deltoid ligament using 3 separate passive movements

  • patient is seated with their leg flexed at the knee and hanging over a table
  • examiner stabilizes the anterior surface of the tibia and fibula proximal to the ankle ( with one hand)
    1. Assess Anterior Fibers of the Deltoid Ligament:
      • examiner uses their other hand to grasp the dorsal surface of the foot, combining eversion and plantarflexion of the foot and applying overpressure.
    2. Assess Middle Fibers of the Deltoid Ligament
      • examiner repositions their hand so the calcaneus is grasped ( still stabilizing the anterior surface of the tibia and fibula proximal to the ankle with their other hand).
      • patient’s hindfoot is taken into eversion with overpressure
    3. Assess Posterior Fibers of the Deltoid Ligament:
      • examiner repositions their hand so the calcaneus is grasped ( still stabilizing the anterior surface of the tibia and fibula proximal to the ankle with their other hand).
      • examiner combines eversion and dorsiflexion of the foot with overpressure

  • Deltoid Ligament Test is POSITIVE when:
    • Pain and Hypermobility local to the ligament
    • Muscle spasm end feel may be present with a subacute injury

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