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Matles Test

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Matles Test
Positive Matle's test. Note the affected leg in the foreground is resting in a position of dorsiflexion compared to the other leg[1]
Matle's test. In the left picture the ankle has an anatomic angle compared to the right where the dorsiflexion of the ankle is increased which is an indirect sign of an Achilles tendon rupture.[2]
  • Matles test
  • Matle's Test
  • Matles Sign
  • Prone knee flexion test
  • Achilles tendon resting angle test
  • Achilles tendon plantarflexion test
  • Matles maneuver

Purpose

Description

  • The patient lies prone, both knees flexed to 90°
    • Feet are relaxed
    • Physician observes resting position of feet
  • Normal
    • Feet are in slight plantarflexion
  • Abnormal
    • Foot is in dorsiflexion

Pathology

Evidence

Achilles Tendon Rupture

  • Maffulli et al[3]
    • Sensitivity: 88%
    • Specificity: 85%

See Also

References

  1. ↑ Periasamy, Madhu, Hari Venkatramani, and Raja Sabapathy Shanmuganathan. "Management of Chronic Achilles Tendon Injuries—Review of Current Protocols and Surgical Options." Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India 52.1 (2019): 109.
  2. ↑ Larsson, Elin, et al. "A narrative review of Achilles tendon ruptures in racket sports." (2022).
  3. ↑ Maffulli, Nicola. "The clinical diagnosis of subcutaneous tear of the Achilles tendon." The American journal of sports medicine 26.2 (1998): 266-270.
Created by:
John Kiel on 17 May 2021 15:06:28
Authors:
Last edited:
8 February 2026 13:46:25
Category:
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