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Arc Sign

From WikiSM

Other Names

Arc Sign[1]
Demonstration of the Arc Sign
  • Arc Sign
  • Arc Test

Purpose


Description

  • The patient lies on the examination table prone
  • Palpate the achilles tendon distal to proximal, feeling for localized thickening
  • When the area of greatest pain/swelling is identified
  • Ask the patient to dorsiflex and plantarflex the ankle
  • Positive Test
    • Localized area of swelling/ pain moves with plantarflexion/dorsiflexion

Pathology


Evidence

Achilles Tendinopathy

  • Hutchison et al[2]
    • Sensitivity 25%
    • Specificity 100%
  • Reiman et al SR/MA[3]
    • Sensitivity: 42%
    • Specificity: 88%

See Also


References

  1. Santacaterina, Fabio, et al. "An overview of Achilles tendinopathy management." Osteology 1.4 (2021): 175-186.
  2. Hutchison, Anne-Marie, et al. "What is the best clinical test for Achilles tendinopathy?." Foot and ankle surgery 19.2 (2013): 112-117.
  3. Reiman, Michael, et al. "The utility of clinical measures for the diagnosis of achilles tendon injuries: a systematic review with meta-analysis." Journal of athletic training 49.6 (2014): 820-829.
Created by:
John Kiel on 15 February 2025 01:24:09
Authors:
Last edited:
27 October 2025 23:26:07
Category: