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Chapter 15 Additional Tests and Adjustments for the Foot and Ankle 421

Table 1 5-1 Summary Table of Tests and Adjustments for the Foot, Ankle, and Related Structures
ADJUSTMENT
Articular Dysfunction Test Segmental Contact Point Line of Drive
Tap lateral border in a lateral-
Medial Calcaneus
to-medial
direction
Tap medial border in a medial-
Lateral Calcaneus
to-Iateral
direction
Medial aspect of Medial to lateral
calcaneus
Lateral inferior calcaneus Lateral to medial
Superior Calcaneus Plantarflex the foot and ankle
Posterior aspect of Inferior
calcaneus at insertion
of Achilles tendon
Inferior Grasp calcaneus and
Calcaneus dorsiflex to resistance
Posterior Calcaneus Pull calcaneus posterior
Inferior aspect of Superior
calcaneus
Calcaneus distal to Anterior
insertion of the
Achilles tendon
Pull the tissue over the
navicular in an anterior and
superior directionRoll lateral to
Anterior-Superior Navicular medial across navicular
Plantarflex and invert the foot
and anklePull the distal tibia
anterior
Medial Navicular
Anterior Lateral Talus
Anterior Distal Tibia
First Metatarsal and First Plantarflex and evert the
Cuneiform foot and ankle
Superior aspect of Posterior and inferior
navicular
Medial tubetosity of the Superior and lateral
navicular
Neck of talus in sinus tarsi Posterior and medial
Anterior distal tibia Posterior
Step One: Inferior or Superior
plantar aspect of first
metatarsal head
Step Two: Medial surface Superior and lateral
of first cuneiform
Inferior Metatarsal Push metatarsal heads
inferior or extend toes against
Heads resistancePlantarflex at first
metatarsophalangeal joint
Distal First Metatarsal and
Superior Proximal First
Phalanx
Push distal first phalanx
lateral Pull lateral malleolus
straight posterior Push or take
a tissue pull over the
Hallux valgus proximal, anterior-lateral
fibula, posteriorly and
superiorPull the superior-
anterior cuboid inferior and
lateral
Posterior Distal Fibula
Posterior-Superior Proximal
Fibula
Cuboid
Inferior aspect of Superior
metatarsal heads
Superior aspect of the first Inferior
metatarsal joint
Medial first metatarso- Lateral
phalangeal joint
Posterior aspect of lateral Anterior
malleolus
Posterior aspect of Anterior and inferior at
proximal fibular head about 45 degrees to
long axis offibular head
Inferior and lateral aspect, Posterior, superior, and
posterior to fifth medial
metatarsal joint

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