Big Toe Extension Assessment

Purpose

Screen for Big Toe Extension findings.

Execution

1. 1Sit with the foot supported and ankle in neutral
2. 2Stabilize the midfoot and heel
3. 3Extend the big toe upward as far as possible
4. 4Estimate or measure the extension angle
5. 5Compare left vs right

Key Observations

• Big toe extension angle
• Comparing left vs right

Views

• medial

Protocol

1. 1Observe from: medial.
2. 2Standardize start position and instructions.
3. 3Perform 2-3 trials per side when applicable.
4. 4Record key observations and any positive indicators.
5. 5Compare left vs right when applicable.

Reference

First MTPJ extension / windlass. Hicks JH. J Anat. 1953;87:345-357. Jack's test, FHL: López et al. Foot Ankle Int. 2020;41(4):457-462. PMID: 31994419.