Posterior Drawer Test | Posterior Cruciate Ligament Tear Assessment
The Posterior Drawer Test is a common orthopedic test to assess for posterior cruciate ligament tears.
Like the Anterior Drawer Test, the test is conducted in supine lying position with the hip flexed to 45° and the knee flexed to 90°.
According to Rubinstein et al. (1994) the Posterior Drawer Test has a sensitivity of 89% and a specificity of 98%.
This means that this test seems to be very accurate to confirm and rule out PCL Tears.
P.S. The sound you hear is from our bench and not from a rupturing PCL!
To conduct the test, the Patient is in supine lying position with the hip in 45° and the knee in 90° of flexion.
The examiner may fixate this position by sitting on the patient’s forefoot.
The examiner then palpates the joint line with his thumbs while grabbing onto the
tibia from anteriorly.
The examiner then translates the tibia posteriorly in an explosive movement
Positive Outcome: Soft or mushy end-feel or increased posterior translation on
the tested knee compared to the other knee
Other tests to assess the posterior cruciate ligament are:
- Posterior Sag Sign / Godfrey’s Test / Step-Off Test
- Quadriceps Active Test / Active Drawer Test
- Reverse Lachman Test
Rubinstein JR RA, Shelbourne KD, McCarroll JR, VanMeter CD, Rettig AC. The accuracy of the clinical examination in the setting of posterior cruciate ligament injuries. The American journal of sports medicine. 1994 Jul;22(4):550-7.
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!Simon Pagitz06/04/20
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
- Jordi Burrut27/10/19
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!Josh07/07/19
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.
Get this FREE WEBINAR & more
by ACL Rehab Expert Bart Dingenen
Watch this FREE webinar by
Expert Sports Physio ENDA KING, PhD