Lachman Test of the Great Toe
(Redirected from MTP Drawer Test)
Other Names
- Vertical stress test
- Hamilton-Thompson test
- Metatarsophalangeal Drawer Test
- Digital Drawer Sign
- Lachman Test Toe
- First MTP Lachman Test
- Great Toe Lachman Test
- Hallux Lachman Test
- First Metatarsophalangeal Lachman Test
- First MTP Drawer Test
- Great Toe Drawer Test
- Hallux Drawer Test
- Vertical Lachman Test (First MTP)
- MTP Drawer Test (Great Toe)
- Plantar Plate Drawer Test (Great Toe)
Purpose
- Assess MTP joint instability
Description
- Examiner grasps metatarsal head with one hand and the proximal phalanx with the other
- The examiner attempts to dislocate the proximal phalanx dorsally
- Positive test
- Reproduction of the patient’s pain
- Can stratifies the severity of MTPJ instability using a 0 to 4 scale
- Direct correlation between the magnitude of the instability and the grade of the plantar plate lesion.
- Grade 0 = stable joint
- Grade 1 to 2 = subluxable
- Grade 3 = dislocatable
- Grade 4 = dislocated
Pathology
- Plantar Plate Tear (2-4th metatarsal)
- Turf Toe (1st Metatarsal)
Evidence
- Klein et al[3]
- Sensitivity: 80.6%
- Specificity: 99.8%
See Also
References
- ↑ de Avila Fernandes, Eloy, et al. "Can ultrasound of plantar plate have normal appearance with a positive drawer test?." European journal of radiology 84.3 (2015): 443-449.
- ↑ Nery, Caio, et al. "Plantar plate radiofrequency and Weil osteotomy for subtle metatarsophalangeal joint instablity." Journal of orthopaedic surgery and research 10.1 (2015): 1-8.
- ↑ Klein EE, WeilL Jr, WeilL SSr, Coughlin MJ, Knight J. Clinical examination of plantar plate abnormality: a diagnostic perspective. Foot Ankle Int 2013;34(6):800—4.
Created by:
John Kiel on 31 January 2022 06:04:59
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Last edited:
28 February 2026 15:50:08
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