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Windlass Test

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Other Names

Example of the setup of the windlass test[1]
  • Windlass Mechanism Test

Purpose


Description

Part 1: Seated

  • Examiner stabilizes the ankle in neutral with 1 hand just proximal to the 1st metatarsal head
  • Then the examiner extends the first phalange while allowing the interphalangeal joint to flex
  • Positive test
    • if passive extension is continued to end range
    • Or until the patient's pain is reproduced.

Part 2: Standing

  • This portion is weight bearing
  • The patient stands on a stool with the metatarsal heads just off the edge of the stool
  • The weight should be distributed equally
  • Examiner passively extends the first phalanx while allowing the interphalangeal joint to flex
  • Positive test
    • Passive extension is continued to end range
    • Or until the patient's pain is reproduced.

Pathology


Evidence

  • Unknown

See Also


References

  1. Image courtesy of thestudentphysicaltherapist.com, "Windlass Mechanism Test"
Created by:
John Kiel on 7 December 2021 23:32:26
Authors:
Last edited:
25 May 2023 07:56:45
Category: