Rotational Stress test is an ankle examination procedure that tests for sprain, instability or ligament laxity.
Patient should be awake and cooperative in performing the Ligament Stress test.
- Patient should be supine or seated during this procedure.
- The examiner grasps the patient’s distal tibia and fibula.
- The examiner rotates the foot internally and externally.
- The examiner checks for pain and increased motion.
Positive Rotational Stress Test
There is positive rotational stress test when there is pain or increased motion of the foot. These signs couldl indicate the presence of ligament laxity, sprain or instability.
The examiner rotates the foot to allow the head of the trochlea of the talus to push against the inside edges of the maleoli. This causes pain or diastasis of the distal tibia and fibula.