During posterior fibular head HVLA, how should the pinky toe be moved relative to the fibular head?

• A. Towards the fibular head
• B. Away from the fibular head
• C. In a circular motion around the head
• D. There is no specific toe movement required

Answer: (A)

During a posterior fibular head HVLA, the goal is to deliver a quick, straight impulse that moves the fibular head anteriorly from its posterior position. Moving the pinky toe toward the fibular head helps achieve the right line of drive by stabilizing the foot and aligning the distal segment with the fibula. This cue prevents unwanted rotation or lateral movement at the ankle, so the thrust travels along the intended vector directly to the fibular head. If the pinky toe were moved away, the foot would rotate or collapse into a less favorable position, dispersing the force and reducing the effectiveness and safety of the thrust.