What interpretation does the Talar tilt test have?

What interpretation does the Talar tilt test have?

• A. Excessive inversion suggests CFL injury and excessive eversion suggests deltoid injury.
• B. Inversion indicates deltoid injury.
• C. Eversion indicates ATFL injury.
• D. No tilt indicates syndesmotic injury.

Answer: (A)

The talar tilt test reveals which ankle ligaments are lax by stressing them in opposite directions. When you tilt the talus by moving the foot into inversion, the primary restraint tested is the calcaneofibular ligament, and to a lesser extent the ATFL. If there is excessive inversion compared with the other side, it points to a CFL injury. Conversely, applying an eversion stress tilts the talus outward, stressing the medial deltoid ligament; excessive laxity in this direction indicates a deltoid injury. This test thus helps differentiate injuries of the lateral ligament complex from those of the medial deltoid ligament. Syndesmotic injuries are typically assessed with other maneuvers (like external rotation or squeeze tests), not the talar tilt alone.

The talar tilt test reveals which ankle ligaments are lax by stressing them in opposite directions. When you tilt the talus by moving the foot into inversion, the primary restraint tested is the calcaneofibular ligament, and to a lesser extent the ATFL. If there is excessive inversion compared with the other side, it points to a CFL injury. Conversely, applying an eversion stress tilts the talus outward, stressing the medial deltoid ligament; excessive laxity in this direction indicates a deltoid injury. This test thus helps differentiate injuries of the lateral ligament complex from those of the medial deltoid ligament. Syndesmotic injuries are typically assessed with other maneuvers (like external rotation or squeeze tests), not the talar tilt alone.