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Shin Palpation Test

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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: