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Anterior Drawer (Neutral Position) |
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Examination type |
Ligament Stress test. |
|
Patient & Body Segment Positioning |
Supine with the test hip flexed to 45 degrees, knee flexed to 90
degrees, and foot in a neutral position. |
|
Examiner Position |
Sitting on subject's foot, with both hands behind the subject's
proximal tibia and thumbs on the tibial plateau. |
|
Tissues
Being Tested |
Anterior Cruciate Ligament (ACL) |
|
Positive Test |
Increased anterior tibial displacement on the femur compared to
the uninvolved side along with end feels indicates partial to
complete ACL tear. |
|
Interpretation |
Degree of laxity, presence and quality of the endpoint compared
bi-laterally will determine the integrity of the ACL |
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Common errors in
performing exam |
Examiner is in an inappropriate position and does not have
correct hand placement.
The patient may not be relaxed or comfortable
|
|
Factors possibly
resulting in misinterpretation |
A torn meniscus of the medial posterior horn wedged against the
femoral condoyle may impair movement. A muscular spasm of the
hamstrings may also prevent movement |
|
Related tests |
Posterior Drawer Test, Lachman’s Test, Slocum Test, MacIntosh
Test, 90-90 Anterior Drawer, Sitting Anterior Drawer Test,
Active Drawer Test |
|
References |
Hoppenfeld Physical Examination of the Spine & Extremities,
Athletic Injury Assessment Fourth Edition |
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Links: |
http://www.wheelessonline.com/ortho/anterior_drawer_test |
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