Which ankle test assesses deltoid or syndesmotic sprain by externally rotating the heel with the leg stabilized?

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Multiple Choice

Which ankle test assesses deltoid or syndesmotic sprain by externally rotating the heel with the leg stabilized?

Explanation:
External rotation stress of the ankle tests the stability of the deltoid ligament and the distal tibiofibular syndesmosis. By keeping the leg stabilized and externally rotating the heel, the talus is pushed against the fibula, stresses the syndesmotic ligaments, and also loads the deltoid ligament on the medial side. A positive result is felt as tenderness or pain around the medial malleolus, indicating a deltoid ligament injury, or pain around the distal syndesmosis, indicating a syndesmotic (high ankle) sprain. The test helps distinguish which ligamentous structures are compromised and guides management accordingly.

External rotation stress of the ankle tests the stability of the deltoid ligament and the distal tibiofibular syndesmosis. By keeping the leg stabilized and externally rotating the heel, the talus is pushed against the fibula, stresses the syndesmotic ligaments, and also loads the deltoid ligament on the medial side. A positive result is felt as tenderness or pain around the medial malleolus, indicating a deltoid ligament injury, or pain around the distal syndesmosis, indicating a syndesmotic (high ankle) sprain. The test helps distinguish which ligamentous structures are compromised and guides management accordingly.

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