ABSTRACT
A general foot and ankle examination consists of seven components inspection, gait analysis, palpation, joint range of movement, neurovascular status, key muscle strength and special tests. During Coleman block test with a flexible hindfoot, the heel will correct to a neutral or valgus position. Performing Coleman block test is essential in any case of hindfoot varus, as a flexible deformity can be addressed by correcting the first ray in isolation, whilst a fixed deformity requires surgery to both the hindfoot and forefoot. The CFL is an extra-articular ligament that resists internal rotation and inversion in a plantigrade or dorsiflexed foot. It is assessed using the anterior drawer test and inversion stress test with the ankle in a plantigrade position. Coleman block test must be performed and accurately interpreted for any hindfoot varus.
