Indications

Hoffa’s test is an ankle examination or assessment test that checks for fracture of the calcaneous, retrocalcaneal bursitis, moderate Achilles tendon strain and Achilles tendon rupture.

Procedure

Patient should be awake and cooperative to check for Hoffa’s test.

  1. Patient should be lying in prone position with ankles hanging over the edge of the examining table.
  2. The examiner palpates the Achilles tendon and tells the patient to actively plantar flex and dorsiflex the ankle.
  3. The examiner takes note of heel pain. If pain is present or decreased tension of the Achilles tendon is noted on one side then the examiner may passively plantar flex and dorsiflex the ankle.

The examiner palpates the Achilles tendon and tells the patient to plantar flex and dorsiflex the ankle.

Interpretation

Positive Hoffa’s Test

There is positive Hoffa’s test when there is pain or guarded motion while the test is being done. This could indicate the presence of a fracture of the calcaneous, retrocalcaneal bursitis, moderate Achilles tendon strain or Achilles tendon rupture.

Clinical Notes

Aside from the mentioned signs, there may also be increased dorsiflexion of the affected foot in the relaxed position.