{"id":8571,"date":"2021-11-15T17:22:04","date_gmt":"2021-11-15T16:22:04","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=8571"},"modified":"2021-11-15T17:22:04","modified_gmt":"2021-11-15T16:22:04","slug":"anterior-drawer-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/anterior-drawer-test\/","title":{"rendered":"Anterior Drawer Test"},"featured_media":8572,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":""},"class_list":["post-8571","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"free_access":"","app_link":"","sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":8572,"background_image_alt_text":"Anterior Drawer Test"},"heading":"Anterior Drawer Test | ACL Ruptures","subheading":"Knee Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Anterior Drawer Test to Assess ACL Injuries<\/h2>\nThis test has a sensitivity of 92% and a specificity of 91%, according to a meta-analysis done by <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16715828\/\" target=\"_blank\" rel=\"noopener\">Benjaminse et al. (2006)<\/a>. These values are reported for a chronic situation, while the test performs way poorer in an acute situation.\n\nBefore you perform the test, it is first recommended to exclude a posterior cruciate ligament (PCL) injury in order to avoid false-positive results.\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=IdnBKv38EEQ[\/embed]\n\n<\/div>\nTo perform the anterior drawer test bring your patient's hip to 45 and your patient's knee to 90 degrees of flexion. You can fixate this position by gently sitting on the foot of your patient. Then palpate the joint line with your thumbs, and try to move the tibia anteriorly in an explosive movement. This test is positive if the tibia translates anteriorly more than six millimeters or if you experience a soft and mushy end feel.\n\nOther common orthopedic tests to assess for ACL ruptures are:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/lachman-test\/\">Lachman Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/lateral-pivot-shift-test\/\">Lateral Pivot-Shift Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/lever-sign\/\">Lelli Test\/Lever Sign<\/a><\/li>\n<\/ul>\n[cta]\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16715828\/\" target=\"_blank\" rel=\"noopener\">Benjaminse A, Gokeler A, van der Schans CP. Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis. Journal of Orthopaedic &amp; Sports Physical Therapy. 2006 May;36(5):267-88.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23085822\/\" target=\"_blank\" rel=\"noopener\">van Eck, C. F., van den Bekerom, M. P., Fu, F. H., Poolman, R. W., &amp; Kerkhoffs, G. M. (2013). Methods to diagnose acute anterior cruciate ligament rupture: a meta-analysis of physical examinations with and without anaesthesia.\u00a0<i>Knee Surgery, Sports Traumatology, Arthroscopy<\/i>,\u00a0<i>21<\/i>(8), 1895-1903.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26854045\/\" target=\"_blank\" rel=\"noopener\">Huang, W., Zhang, Y., Yao, Z., &amp; Ma, L. (2016). Clinical examination of anterior cruciate ligament rupture: a systematic review and meta-analysis.\u00a0<i>Acta Orthop Traumatol Turc<\/i>,\u00a0<i>50<\/i>(1), 22-31.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20215888\/\" target=\"_blank\" rel=\"noopener\">Peeler, J., Leiter, J., &amp; MacDonald, P. (2010). Accuracy and reliability of anterior cruciate ligament clinical examination in a multidisciplinary sports medicine setting.\u00a0<i>Clinical journal of sport medicine<\/i>,\u00a0<i>20<\/i>(2), 80-85.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our 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