Tomasen Test

Other Names

• Tomasen Test
• FHL Test

---

Purpose

• Test assesses the influence of the Flexor Hallucis Longus (FHL) on the first Metatarsal Phalangeal Joint (MTP) motion

---

Description

• Assess first MTP motion in maximal plantarflexion and moderate dorsiflexion of the ankle
• First MTP stabilized to avoid compensatory first metatarsal head plantar flexion
• Positive test
  • Discomfort
  • Reduced first MTP joint extension by 20° with ankle dorsiflexion

---

Pathology

• Flexor Hallucis Longus Tendinopathy

---

Evidence

Flexor Hallucis Longus Tendinopathy

• Michelson et al
  • Approximately 37% of patients in one series demonstrated this positive finding

---

See Also

• Ankle Pain (Main)
• Foot Pain (Main)
• Physical Exam Foot

---