Access Keys:
Skip to content (Access Key - 0)

Single-heel rise test

Name of test

Single-heel rise test

What it tests

Integrity of posterior tibial tendon

How to do it

The patient stands facing away from the examiner. The patient is asked to stand on her affected leg only (first figure) and then plantar flex the ankle such that she will rise up onto her toes (second figure).

The normal response

Normally, when the patient plantar flexes the foot at the ankle there is inversion of the foot.

As you see (depicted by the black line) in the first figure, the skin crease is roughly parallel to the ground when standing flat; when up in a single leg rise stance, the skin crease line is now reflects ankle inversion

What it means if not normal

Absence of foot inversion during plantar flexion denotes posterior tibial tendon rupture or chronic posterior tibial tendonitis. Other signs of posterior tibial tendon rupture or tendonitis are pain to palpation and swelling posterior to the medial malleolus and weakness of foot inversion.


It is critical that the patient start this movement while standing on one foot. Some patients will be able to HOLD themselves on a single leg but cannot INITIATE a single leg rise


7479410, 6861387

Unknown macro: {cite}

Peer Review

OrthopaedicsOne Peer Review Workflow is an innovative platform that allows the process of peer review to occur right within an OrthopaedicsOne article in an open, transparent and flexible manner. Learn more

Instructions for Authors

Read our Instructions for Authors to learn about contributing or editing articles on OrthopaedicsOne.

Content Partner

Learn about becoming an OrthopaedicsOne Content Partner.

Academic Resources

Resources on Single-heel rise test from Pubget.

Error rendering macro 'rss' : The RSS macro is retrieving an HTML page.
Orthopaedic Web Links

Internet resources validated by

Related Content

Resources on Single-heel rise test and related topics in OrthopaedicsOne spaces.

Page: Active ankle eversion (OrthopaedicsOne Articles)
Page: L-1 Motor (OrthopaedicsOne Articles)
Page: L-2 Motor (OrthopaedicsOne Articles)
Page: L-3 Motor (OrthopaedicsOne Articles)
Page: L-5 Motor (OrthopaedicsOne Articles)
Page: S-1 Motor (OrthopaedicsOne Articles)
Page: Trendelenburg's sign (OrthopaedicsOne Articles)
Page: Posterior drawer test of the knee (OrthopaedicsOne Articles)
Page: Coleman lateral block test (OrthopaedicsOne Articles)
Page: Axial Compression Test (OrthopaedicsOne Articles)
Showing first 10 of 145 results