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Anterior Drawer Test Knee

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Other Names

Anterior Drawer Test
Demonstration of the anterior drawer test[1]
  • Anterior Drawer Test
  • Anterior Drawer Test of the Knee
  • Anterolateral drawer test

Purpose


Description

  • The patient is supine
  • Hips flexed to 45°, knee flexed to 90°, foot flat on the examination table
  • The examiner should sit on the patients foot to stabilize the limb
  • Grasp the proximal lower leg, just below the tibial plateau
  • Attempt to translate the lower leg anteriorly
  • Positive exam is laxity, excessive anterior translation or lack of end feel
    • Comparison should be made to contralateral leg

Pathology


Evidence

  • Scholten et al
    • Sensitivity: 18% - 92%[2]
    • Specificity: 78% - 98%
  • Meta-analysis of studies looking at value of special tests[3]
    • Helpful in subacute and chronic cases, not in acute cases
    • Sensitivity: 92% (95% CI, 88–95)
    • Specificity: 91% (95% CI, 87–94)

See Also


References

  1. Swinford, Steven T., et al. "Biomechanics and physical examination of the posteromedial and posterolateral knee: state of the art." Journal of ISAKOS 5.6 (2020): 378-388.
  2. Scholten PJPM, Opstelten W, van der Plas CG, Bijl D, Deville WLJM and Bouter LM. Accuracy of physical diagnostic tests for assessing ruptures of the anterior cruciate ligament: a meta-analysis. J Fam Pract. 2003;52:689-694.
  3. Benjaminse, Anne, Alli Gokeler, and Cees P. van der Schans. "Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis." Journal of orthopaedic & sports physical therapy 36.5 (2006): 267-288.
Created by:
John Kiel on 21 July 2019 22:35:54
Authors:
Last edited:
30 August 2023 13:30:09
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