Mulders Sign
Other Names
- Mulder's Click
- Mulder's click Test
- Mulder's Sign
- Mulder Test
- Mulder’s Maneuver
- Morton’s Neuroma Test
- Interdigital Neuroma Test
- Interdigital Neuroma Compression Test
- Forefoot Compression Test (for neuroma)
- Morton Neuroma Compression Sign
Purpose
- Evaluate the cause of foot and toe pain
- First described by Dutch orthopedic surgeon Jacob D Mulder in 1951[3]
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[4]
Pathology
Evidence
- Mahadevan et al[4]
- Sensitivity: 62%
- Specificity: 100%
- PPV: 100%
- NPV: 0%
- Diagnostic Accuracy: 61%
See Also
References
- ↑ Jump, Christopher, et al. "Does Greek Foot Predispose to Morton’s Neuroma?." Open Journal of Orthopedics 4 (2014): 176-182.
- ↑ Jung, Hong-Geun, and Tae-hoon Kim. "Clinical approach of common foot and ankle disorders." The Journal of the Korean Rheumatism Association 17.4 (2010): 348-359.
- ↑ 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
- ↑ 4.0 4.1 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
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Last edited:
1 March 2026 13:50:53
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