II. Indications
- Assessment for Anterior Cruciate Ligament Rupture
III. Technique
- Patient supine
- Hips flexed to 45 degrees
- Knees flexed to 90 degrees
- Feet flat on table
- Examiner sits on patients feet to fix in place
- Hold lower leg above calf with both hands
- Apply sudden firm pull forward (Anterior Drawer)
- Apply sudden firm push back (Posterior Drawer)
- Consider repeating maneuver in three positions of tibial rotation
- Tibia with no rotation (neutral)
- Tibia with 30 degrees internally rotated
- Tibia with 30 degrees externally rotated
- Images
IV. Interpretation: Positive Test
- Normal test result shows no more than 6-8 mm of laxity
- Anterior Drawer: Endpoint laxity suggests Anterior Cruciate Ligament Rupture (ACL Rupture)
- Posterior Drawer: Endpoint laxity suggests Posterior Cruciate Ligament Rupture (PCL Rupture)
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Related Studies
| Concepts | Diagnostic Procedure (T060) |
| SnomedCT | 61034000 |
| English | anterior drawer test, Anterior drawer sign test, Anterior drawer test (procedure), Anterior drawer test |
| Spanish | prueba del cajón anterior (procedimiento), prueba del cajón anterior |
Ontology: Posterior drawer test response (observable entity) (C0231738)
| Concepts | Finding (T033) |
| 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 |
