Questions and Answers
What is Kleiger's test patient position?
Foot hanging off the edge of the table in seated or supine position.
Describe the clinician position during Kleiger's test.
Distal and lateral to the patient's foot, one hand stabilizing distal tibia/fibula, other hand cupping the calcaneus.
What is the technique for performing Kleiger's test?
The examiner stabilizes the lower leg with one hand, grasps the medial aspect of the foot while supporting the ankle in neutral, then forces the foot into dorsiflexion and external rotation.
What are the positive signs of Kleiger's test?
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What are the implications of a positive Kleiger's test?
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Study Notes
Kleiger's Test Overview
- Evaluates stability of the ankle, particularly for syndesmosis injuries or high ankle sprains.
Patient Position
- Patient's foot must hang off the edge of the table.
- Can be performed with the patient seated or in a supine position.
Clinician Position
- Clinician positions themselves distal and lateral to the patient's foot.
- One hand stabilizes the distal tibia and fibula, while the other hand cups the calcaneus.
Testing Technique
- Clinician stabilizes the lower leg with one hand.
- Grasp the medial aspect of the foot and maintain the ankle in a neutral position.
- Apply force by dorsiflexing the foot and externally rotating it.
Positive Signs
- Indicated by pain at the deltoid ligament or anterior tibiofibular ligament during the test.
Clinical Implications
- A positive result suggests a potential high ankle sprain.
- Confirms a tear or sprain of the deltoid ligament and/or anterior talofibular ligament.
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Description
This quiz focuses on Kleiger's test, used to assess ankle stability. It covers positions for both the patient and clinician, as well as the technique employed during the examination. Test your knowledge on this important assessment tool in clinical practice.
