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Tendon assessments

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

There are several tendons within the ankle that may be the site for pathology and require assessment:

  • Achilles tendon / tendo calcaneus:
    • assessed with the patient prone and with the feet over the side of the bed
    • inspection - for defects in the contour of the tendon
    • feel - palpate the tendon while the patient is trying to plantar-flex the ankle against resistance
    • move - bilaterally compare the force achieved by plantar-flexion in the same position

  • teno-synovitis:

Medially:

  • look and feel: along the line of the long flexor tendons behind the medial malleolus
  • plantarflex and evert the ankle joint - produces pain if the tibialis posterior tendon is inflamed

Laterally:

  • look and feel: along the line of the peroneal tendons; crepitus and swelling may be felt
  • plantarflex and invert the foot - this will produce pain along the line of the long peroneal tendons if they are inflammed

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