Indications

Rotational Stress test is an ankle examination procedure that tests for sprain, instability or ligament laxity.

Procedure

Patient should be awake and cooperative in performing the Ligament Stress test.

  1. Patient should be supine or seated during this procedure.
  2. The examiner grasps the patient’s distal tibia and fibula.
  3. The examiner rotates the foot internally and externally.
  4. The examiner checks for pain and increased motion.

The examiner rotates the foot internally and externally.

Interpretation

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.

Clinical Notes

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.