Athletic Training & Sports Medicine Center

 

Examination Links:

  • Alphabetical Listing
    of Examinations
  • Head
    • Rhombterg
    • Neurological control
       - upper limb
    • Neurological control
       - lower limb
    • Tandem Test
    • Finger-to-nose test
    • Finger-thumb test
    • Hand flip test
    • Finger drumming test
    • Hand-thigh test
    • Past pointing test
    • Heel-to-knee test
    • Proprioceptive Movement
       Test
    • Proprioceptive Space Test
  • Cervical Spine
    • Spurling's Test
    • Distraction
    • Quandrant
    • Tinels' Sign
  • Thoracic Spine
    • Sagittal Plane ROM Test
    • Frontal Plane ROM Test
    • Transverse Plane ROM Test
  • Lumbar Spine
    • Straight Leg Raise Test
    • Sciatic Nerve Palpation Test
    • Bowstring Test
    • Slump Test
  • Shoulder
    • Apley Scratch Test
    • Apprehension Test
    • Relocation Test
    • Anterior Instability Test
    • Anterior/Posterior Translation
       Test
    • Sulcus Sign
    • Posterior G-H Instability Test
    • Inferior Drawer (Feagin) Test
    • Neer Impingement Test
    • Hawkins Kennedy
      Impingement Test
    • Empty Can Test
    • Internal Rotation Strength
      Test
    • External Rotation Strength
      Test
    • Glenoid Labrum Clunk Test
    • Andrews Anterior Instability
      Test
    • Anterior Drawer
    • Posterior Drawer
    • Prone Posterior Instability 
      Test
    • Push Pull Test
    • Apprehension Test
    • Fulcrum test
    • Jerk Sign or Jahnke Test
    • Load & Shift Test
    • Acromioclavicular Joint
      Stability Test
    • Cross Chest 
      (Horizontal Adduction) Test
    • Sternoclavicular Joint 
      Integrity Test
    • Speed's Test
    • Gilcrest's Palm-Up test
    • Ludington's Test
    • Drop Arm Test
    • Drop Sign
    • External Rotation Lag Sign
    • Internal Rotation Lag Sign
    • Gerber Lift-Off Test
    • O'Brien Test
    • Yergason Test
    • Biceps Load Test I
    • Biceps Load Test II
    • Winging Scapula Test
    • Adson Maneuver
    • Allen Test
    • Roo's Test
    • Halstead's Test
  • Elbow & Radioulnar
    • Valgus Test 00
    • Valgus Test 300
    • Valgus Test 900
    • Miking Sig
    • Cross Arm Valgus
       Stress Test
    • Varus Test 00
    • Varus Test 300
    • Tinel Sign
    • Lateral Compression Test
    • Valgus Extension Overload
    • Cozen Test
    • Mills Test
    • Distal Radioulnar Instability 
      Test
  • Wrist
    • Finkelstein's Test
    • Anatomical Snuff Box
      Compression Test
    • Phalen's Test or Wrist Press 
      Test
    • Tinel Sign
  • Hand & Fingers
    • Murphy's Signr
    • Boutonniere Deformity Test
    • Mallet Finger Test
    • Flexor Digitorum Superficialis
       Test
    • Flexor Digitorum Profundus
       Test
    • Gamekeeper's Thumb Test
    • MCP Radial Collateral 
      Ligament Stress Test
    • MCP Ulnar Collateral 
      Ligament Stress Test
    • PIP Radial Collateral 
      Ligament Stress Test
    • PIP Ulnar Collateral 
      Ligament Stress Test
    • DIP Radial Collateral 
      Ligament Stress Test
    • DIP Ulnar Collateral 
      Ligament Stress Test
    • Bunnel-Littler Test
    • Retinacular Test
    • Allen Test
  • Sacroiliac Joint
    • Ipsilateral Prone Kinetic Test
    • FABER Test
    • Passive Extension & Internal 
      Rotation of Ilium on Sacrum
    • Passive Flexion & External 
      Rotation of Ilium on Sacrum
    • Passive External Rotation 
      of Hip
    • Pelvic Rocking Test
    • Gapping Test
    • Prone Gapping (Hibb's) Test
    • Approximation Test
    • Squish Test
      Sacroiliac Rocking Test
    • Sacral Apex Pressure Test
    • Torsion Stress Test
    • Femoral Shear Test
    • Superoinferior Symphysis
      Pubic Stress Test
    • Piedallu's Sign
    • Flamingo Maneuver or Test
    • Gaenslen's Sign
    • Mazion's Pelvic Maneuver
    • Yeoman's Test
    • Sit-up Test
  • Hip & Thigh
    • Scouring (Quandrant) Test
    • FABER Test
    • Trendelenburg Test
    • Craig's Test
    • Torque Test
    • Stinchfield Test
    • Thomas Test
    • Ober Test
    • Pirifomis Test
    • Sign of the Buttock
    • Ely's Test
    • Hamstring Contracture Test 1
    • Tripod Test
    • 90-90 Straight Leg Test
    • Phelp's Test
  • Knee
    • Gravity Sign
    • Active Posterior/Anterior 
      Drawer Test
    • Posterolateral Drawer Test
    • Lachman
      • Tradiional
      • Thigh Assisted
      • Drop Leg
      • Table Side
      • Table End
      • Prone
      • Active
    • Posterolateral Drawer Test
    • Figure 4 Palpation
    • McMurray's Test
    • Apley's Grind Test
    • Lateral Compression Test
    • Medial Compression Test
    • Jerk Test of Hughston
    • Pivot Shift Test
    • External Rotation 
      Recurvatum Test
    •  
  • Lower Leg
  • Ankle
  • Foot
    • Morton Test
    •  
  • Range of Motion
  • Goniometry
  • Manual Muscle Testing
  • Reflexes
  • Vital Signs
  • Body Composition

 

Anterior Drawer (Neutral Position)

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
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
Links: http://www.wheelessonline.com/ortho/anterior_drawer_test
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