Understanding the Squeeze Test (Tibia-Fibula Squeeze) Assessment
To assess for a **Syndesmosis Sprain** (high ankle sprain) or a **Tibial/Fibular Fracture**.
Watch How It's Done
How do I start?
Patient is sitting or supine.
What happens?
The examiner firmly **squeezes the tibia and fibula together** (compression) at a point proximal to the suspected injury site (often mid-calf).
In Plain English
What Does a Positive Result Mean?
Sharp, localized **pain at the syndesmosis joint line** (distal tibiofibular joint) when the squeeze pressure is *released* (for syndesmosis) or pain anywhere along the shaft (for fracture).
Helpful Tip:
Compressing the bones causes them to separate slightly at the distal joint; releasing the compression allows them to spring apart, which stresses the injured syndesmosis ligaments.
Safety First
This guide is to help you understand what happens in a clinic. Do not try to diagnose yourself. If you have severe pain, swelling, or cannot put weight on your leg, please visit an urgent care center or your doctor immediately.
Other ankel Tests
Anterior Drawer of the Ankle
To assess the integrity of the **Anterior Talofibular Ligament (ATFL)**, the most commonly injured ligament in lateral ankle sprains.
External Rotation Stress Test (or Syndesmosis Ligament Test)
To assess the integrity of the **Distal Tibiofibular Syndesmosis** (the 'high ankle sprain' ligaments, including the AITFL and PITFL).
Figure of Eight Method of Measuring Ankle Joint Swelling
To quantitatively measure and track **ankle and foot edema (swelling)** volume over time.
Impingement sign ankle (Anterior Ankle Impingement)
To diagnose **Anterior Ankle Impingement Syndrome** (bony or soft tissue impingement at the front of the joint).