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Shin Palpation Test

From WikiSM


Other Names

  • Shin Palpation Test
  • Focal Tenderness to Palpation
  • TTP Test
  • Tenderness to palpation test

Purpose

Positioning for performing the focal tenderness to palpation test.[1]
  • Evaluate the tibia for a stress fracture

Description

  • The patient is supine, hip and knee flexed with foot flat on the table
    • This allows for relaxation of the posterior compartment musculature, exposing the posteromedial tibia
  • Using index and middle fingers, palpate along the posteromedial shaft of the tibia
  • Positive test
    • Increased pain compared to baseline pain

Modification

  • As palpation is performed along the posteromedial tibial shaft, pen marks are made to delineate length
  • Positive if
    • Increased pain AND if the area of tenderness is ≤2.5 cm in length
  • Negative
    • Area of tenderness >2.5 cm.

Pathology

Evidence

  • Rosenthal et al[1]
    • Sensitivity: 48.6%
    • Specificity: 40.6%
    • PPV: 47.2%
    • NPV: 41.9%
    • PLR: 0.83
    • NLR: 1.27
    • Overall Accuracy: 45%

See Also

References

  1. ↑ 1.0 1.1 Rosenthal, Michael D., Mitchell J. Rauh, and James E. Cowan. "Prospective Assessment of Clinical Tests Used to Evaluate Tibial Stress Fracture." Orthopaedic Journal of Sports Medicine 10.9 (2022): 23259671221122356.
Created by:
John Kiel on 15 May 2023 06:53:33
Authors:
Last edited:
15 May 2023 07:40:57
Category:
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