Indications

Talar Tilt is an ankle examination procedure that tests for lateral ankle ligament sprain, ligament rupture, medial ankle ligament sprain and ligament rupture. It is useful in assessing a combined injury of both the anterior talofibular and the calacaneofibular ligaments.

Procedure

Patient should be awake and cooperative when the Talar Tilt is done.

  1. Patient should be seated or supine during the test.
  2. The examiner stabilizes the ankle joint over the tibia and fibula.
  3. The examiner inverts the ankle and takes note of the amount of joint play and motion.
  4. The examiner everts the ankle again noticing the amount of joint motion and joint play. He compares the results bilaterally.

Examiner stabilizes the ankle joint over tibia and fibula.

Interpretation

Positive Talar Tilt

There is positive Talar Tilt when the following signs are noted:

  • Increased motion or pain with ankle inverstion – this could indicate the presence of lateral ankle ligament sprain, ligament rupture (anterior talofibular, calcaneofibular ligament, posterior talofibbular ligament).
  • Increased motion or pain with ankle eversion – this could indicate the presence of medial ankle ligament sprain, ligament rupture (deltoid ligament).

Clinical Notes

Synonym for Talar Tilt is Inversion & Eversion Talar Tilt, Medial/Lateral Stability Test

Patients with a history of chronic ankle sprains will show increased motion at the ankle that is most commonly injured (ligament laxity).