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Knee Anterior Drawer Test
Aka: Knee Anterior Drawer Test, Knee Posterior Drawer Test
- See Also
- Knee Exam
- Lachman Test
- Pivot Shift Test (MacIntosh Test)
- Indications
- Assessment for Anterior Cruciate Ligament Rupture
- 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

- 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)