Work

The hook test for rupture of tibialis anterior tendon

Year: 2025

Type: article

Abstract: Background Chronic rupture of the tibialis anterior tendon is uncommon, and delays in diagnosis are common. The reasons are multifactorial, and incomplete physical examination is one of them. Methods The author describes a Tibialis Anterior Tendon (TAT) hook test to aid in diagnosis. The test is based on the normal anatomy of the TAT at the ankle, and a positive test confirms a normal intact tendon. A negative test confirms loss of continuity. This is a simple test that can be performed quickly and easily. This is easy to teach. Results The author has been using the test since 2021 and has diagnosed four cases of TAT chronic tear by the end of 2024. Conclusions The tibialis anterior hook test helps diagnosis of chronic ruptures. This test has not been previously described in the literature. The technique and experience of the author are presented in this paper. Levels of Evidence Level IV – Case series

Source: Foot & Ankle Surgery Techniques Reports & Cases

DOI: 10.1016/j.fastrc.2025.100533

Author: Om Lahoti

Institution: King's College Hospital

Language: English

Topic: Foot and Ankle Surgery

Subfield: Orthopedics and Sports Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000