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Mulders Click Test

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Other Names

  • Mulder's Click
  • Mulder's click Test
  • Mulder's Sign

Purpose

  • Evaluate the cause of foot and toe pain
  • First described by Dutch orthopedic surgeon Jacob D Mulder in 1951[1]

Description

  • The patient is seated or supine with foot exposed
  • The foot is clasped around the metatarsal heads with the fingers of 1 hand
  • The thumb of the contralateral hand exerts firm pressure on the sole of the foot at the site of the metatarsal neck
  • Firm lateral compression of the metatarsal heads is then applied with the fingers
  • Positive test
    • Palpable click felt
  • Note: dependent on size of the neuroma
    • Usually positive in Morton’s neuroma measuring 1 cm or more[2]

Pathology


Evidence

Mortons Neuroma

  • Mahadevan et al[2]
    • Sensitivity: 62%
    • Specificity: 100%
    • PPV: 100%
    • NPV: 0%
    • Diagnostic Accuracy: 61%

See Also


References

  1. MULDER JD. The causative mechanism in morton's metatarsalgia. (1951) The Journal of bone and joint surgery. British volume. 33-B (1): 94-5. Pubmed
  2. 2.0 2.1 Mahadevan, Devendra, et al. "Diagnostic accuracy of clinical tests for Morton's neuroma compared with ultrasonography." The Journal of Foot and Ankle Surgery 54.4 (2015): 549-553.
Created by:
John Kiel on 2 February 2022 05:46:46
Authors:
Last edited:
2 February 2022 06:39:38
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