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Thumb Index Finger Squeeze Test

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Other Names

Thumb Index Finger Squeeze Test for Morton's Neuroma[1]
  • Thumb Index Finger Squeeze Test

Purpose

  • Evaluate the cause of foot and toe pain

Description

  • The patient is seated with foot exposed
  • Thumb is placed on the dorsal aspect, index finger on the plantar aspect of the symptomatic intermetatarsal space
  • Examiner then squeezes the intermetatarsal space
    • Be careful to avoid applying pressure to the metatarsalphalangeal joint
  • Splaying of toes is a good indication that the test has been performed appropriately.
  • Positive test
    • Reproduction of patients pain

Pathology


Evidence

Mortons Neuroma

  • Mahadevan et al[2]
    • Sensitivity: 96%
    • Specificity: 100%
    • PPV: 100%
    • NPV: 33%
    • Diagnostic Accuracy: 96%

See Also


References

  1. Santiago, Fernando Ruiz, et al. "Role of imaging methods in diagnosis and treatment of Morton’s neuroma." World journal of radiology 10.9 (2018): 91.
  2. 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 1 February 2022 16:46:42
Authors:
Last edited:
25 May 2023 06:28:21
Category: