Heel Thump Test
- Heel Thump Test is used to determine if there is a tibial stress fracture.
- The heel thump test is a useful screening tool for evaluating ankle injuries and for differentiating syndesmotic sprains from lateral ankle sprains.
- The patient is in seated or supine,
- The examiner uses one hand to stabilize the leg,
- With the other hand, the examiner applies a firm thump on the heel with the fist so that the force is applied to the center of the heel and in line with the long axis of the tibia.
A Positive Heel Thump Test:
- If the pain located in the area of the ankle indicates a syndesmosis injury.
- Pain along the shaft of the tibia may indicate a stress fracture.
For a high ankle sprain:
- Sensitivity: 30%
- Specificity: 93.5%
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