Squeeze Test of ankle:

• It is also known as the fibular compression test.
• This test is also available with the ankle external rotation test which is suggested by to literature.
• This test is applied in the clinic to check the ankle sprain.
• This clinical test is applied by a physiotherapist when the patient is complain about ankle pain.

Purpose of the Squeeze Test of ankle:

• This squeeze test is used to check the syndesmotic ankle sprains.
• This squeeze test is also used to check the contusion & compartment syndrome.

How do you perform the squeeze Test of the ankle?

• Starting position for the test is the supine position.
• The examiner grasps the lower leg at mid calf & squeezes the tibia & fibula together.
• Then the examiner applies the same load at more distal locations moving toward the ankle.

What is the result of the squeeze Test of the ankle?

• Pain in the lower leg may indicate a syndesmosis injury, provided that fracture, contusion,&compartment syndrome have been ruled out.

• Brosky & associates called this test the distal tibiofibular compression test.
• In this distal tibiofibular compression test applied to compression over the small oil rather than the shaft of the tibia & fibula.

• Nussbaum, et al. reported that the length of tenderness above the lateral malleolus indicates severity.

What is Evidence of the squeeze Test of the ankle?

• This squeeze test have available to report the reliability of this test is moderate means kappa = 0.50

• According to a study, which is described by to Alonso et al.& according to the study, which is described by to César PC et al
• Result of this test shows :
• Sensitivity of the squeeze Test of the ankle = 30%
• Specificity of the squeeze Test of the ankle = 93.5%
• Which is indicated to be a high ankle sprain.

• Another study:
• Which is described by Sman AD et
• This study is recommended that the specificity of the squeeze Test of the ankle = highest specificity.
• This test is an ideal test that is used to a combination of the sensitivity of the squeeze Test & specific of the squeeze Test signs so that these tests confirm the ankle syndesmosis involvement.
• This study suggests using the dorsiflexion-external rotation stress test along with the squeeze test which is to get a better diagnosis along with the other symptoms of the syndesmosis injury.