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Knee Anterior Drawer Test

Aka: Knee Anterior Drawer Test, Knee Posterior Drawer Test

See Also
Indications
1. Assessment for Anterior Cruciate Ligament Rupture
Technique
1. Patient supine
  1. Hips flexed to 45 degrees
  2. Knees flexed to 90 degrees
  3. Feet flat on table
2. Examiner sits on patients feet to fix in place
  1. Hold lower leg above calf with both hands
  2. Apply sudden firm pull forward (Anterior Drawer)
  3. Apply sudden firm push back (Posterior Drawer)
3. Consider repeating maneuver in three positions of tibial rotation
  1. Tibia with no rotation (neutral)
  2. Tibia with 30 degrees internally rotated
  3. Tibia with 30 degrees externally rotated
Interpretation: Positive Test
1. Normal test result shows no more than 6-8 mm of laxity
2. Anterior Drawer: Endpoint laxity suggests Anterior Cruciate Ligament Rupture (ACL rupture)
3. Posterior Drawer: Endpoint laxity suggests Posterior Cruciate Ligament Rupture (PCL rupture)

Anterior drawer test (C0231737)
Concepts	Diagnostic Procedure (T060)
SnomedCT	61034000
English	anterior drawer test, Anterior drawer test (procedure), Anterior drawer test
Spanish	prueba del cajón anterior (procedimiento), prueba del cajón anterior
Sources	Derived from the NIH UMLS (Unified Medical Language System)

Posterior drawer test response (C0231738)
Concepts	Diagnostic Procedure (T060)
SnomedCT	82984001
English	Posterior drawer test, Posterior drawer test response (observable entity), Posterior drawer test response
Spanish	prueba del cajón posterior (entidad observable), prueba del cajón posterior, respuesta a prueba del cajón posterior (entidad observable), respuesta a prueba del cajón posterior
Sources	Derived from the NIH UMLS (Unified Medical Language System)

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 2/1/2012 and last published on 5/14/2013.

This is one of 5887 pages in the Family Practice Notebook