{"id":8571,"date":"2021-11-15T17:22:04","date_gmt":"2021-11-15T16:22:04","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&#038;p=8571"},"modified":"2026-10-15T18:34:41","modified_gmt":"2026-10-15T16:34:41","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":null,"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":"Free webinar","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-6","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Try Premium free","button_style":"button-three","button_internal_link":26802,"button_anchor":"","button_url":"","button_file":""},"button_description":""},{"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"}},{"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-form-v2","content_editor":"<h2>Working with <strong>ACL patients?<\/strong><\/h2>\r\n<p>Watch Bart Dingenen's <strong>free<\/strong> webinar on ACL injury management, plus practical resources in your inbox.<\/p>","form":"41","image":29327,"image_alt_text":"Free ACL webinar"},{"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\">Get the full Physiotutors <strong>Assessment Book<\/strong><\/p>\n\n<ul>\n \t<li>600+ pages on orthopedic assessment<\/li>\n \t<li>Video demonstrations and direct links to the PubMed studies<\/li>\n \t<li>Statistical values for every special test, from the latest research<\/li>\n \t<li>Free lifetime updates<\/li>\n \t<li>Available in English, German, French, Spanish, Italian, Portuguese and Turkish<\/li>\n<\/ul>","button_type":"internal_link","button_label":"See the Assessment Book","button_style":"button-two","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Anterior Drawer Test | Anterior Cruciate Ligament Tear Assessment<\/title>\n<meta name=\"description\" content=\"The Anterior Drawer Test is one of the most common orthopedic tests to examine if the anterior cruciate ligament (ACL) is injured.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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