Download Ankle HOPS

Ankle HOPS
History:

Location of pain

Nature of pain

Onset

Mechanism of injury (MOI)

Changes in activity and conditioning regimen (chronic)

Prior history of injury
Observation

General inspection
o Weight-bearing status
o Bilateral comparison
o Swelling
Palpation

Bony
o Distal fibula
o Lateral malleolus
o Tibia
o Medial malleolus
o Calcaneus
o Talus

Soft tissue
o Peroneals
o Anterior muscles
o Posterior muscles
o Lateral muslces
o Achilles tendon
o Lateral ligaments
o Deltoid ligament (medial ligament)
Special tests

Range of motion
o Joint mechanics
 Plantarflexion/dorsiflexion
 Inversion/eversion
o Active
o Passive
o Resistive

Tests for ligamentous stability
o Anterior Drawer test (ATF)
o Talar Tilt (calcaneofibular ligament and ATF/PTF)
o Eversion stress test (deltoid)
o Squeeze test (syndesmosis)

Tests for fractures
o Squeeze test
o Bump test

Tests for muscle injury
o Thompson test (Achilles tendon)

Neurovascular
o Capillary refill
o Dorsalis pedis
o Posterior tibial

Doctor Referral if…..