Overview
This lecture explains how to perform the Talar Tilt test to assess the stability of specific ankle ligaments and interpret its findings in the context of lateral ankle sprains.
Purpose and Clinical Use
- The Talar Tilt test evaluates the integrity of the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), posterior talofibular ligament (PTFL), and the deltoid ligament.
- Test helps diagnose lateral ankle sprains.
Test Procedure
- Patient should sit with knee hanging off the table for easier access.
- To test the ATFL: place the foot in plantar flexion and perform inversion by grabbing the calcaneus.
- To test the CFL: position the foot in anatomical (neutral) position and apply inversion and eversion.
- Eversion stresses the deltoid ligament complex located on the medial side of the ankle.
- To test the PTFL: dorsiflex the foot maximally and repeat inversion/eversion movements.
Interpretation of Results
- The test is positive if the patient experiences pain or if there is excessive gapping compared to the uninjured side.
- According to Hertel et al. (1999), the test has 50% sensitivity and 88% specificity in diagnosing lateral ankle sprains.
Key Terms & Definitions
- Plantar Flexion — movement that points the foot downward.
- Dorsiflexion — movement that brings the foot upward toward the shin.
- Inversion — turning the sole of the foot inward.
- Eversion — turning the sole of the foot outward.
- Anterior Talofibular Ligament (ATFL) — ligament on the outside of the ankle most commonly injured in sprains.
- Calcaneofibular Ligament (CFL) — lateral ankle ligament supporting the ankle joint.
- Posterior Talofibular Ligament (PTFL) — ligament at the back outer ankle.
- Deltoid Ligament — strong medial ankle ligament complex.
Action Items / Next Steps
- Watch the Anterior Drawer Test video for full lateral ankle sprain assessment.
- Review additional ankle assessment resources or playlists as recommended.