Heel Thump Test

 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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