Anterior Drawer Test Ankle | Inversion Trauma | Ankle Sprain
Patients who experienced ankle inversion traumata can be left with talocrural joint laxity. Croy et al. (2013) investigated the Anterior Drawer’s ability to detect laxity when compared to ultrasound imaging. They defined two cut-off points for talocrural joint laxity. The first one was set at 2,3mm or greater in the talofibular interval and the second one at 3,7mm or greater.
Values for sensitivity and specificity were 74% and 38% for the first interval and 83% and 40% for the second interval. So statistically, the anterior drawer’s ability to detect talocrural joint laxity increases with a larger talofibular interval or increased anterior translation during the test. Overall, we attribute the test a weak clinical value.
To conduct the test, the patient lies supine, the upper leg is supported by the table, the knee joint is flexed, and the ankle joint is held in 10-15° of plantarflexion. Then grasp the heel, while the patient’s foot lies on the anterior aspect of your forearm. With the other hand, hold back the patient’s tibia and then draw the foot anteriorly.
In a positive test, you would feel increased anterior translation compared to the unaffected ankle and might be able to observe a dimple appearing on the anterolateral aspect of the talus. Miller et al. (2016) conducted a cadaver study and found that when allowing the talocrural joint to internally rotate around the axis of the intact deltoid ligament, it was able to detect more subtle degrees of ankle instability.
Another common orthopedic test to perform to assess the integrity of the ligaments of the lateral ankle is the Talar Tilt Test.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
This content is for members
Create your free account to gain access to this exclusive content and more!
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.