Anterior Drawer Test of the Knee

Anterior Drawer Test of the Knee is used to:

• Determine the integrity of the Anterior Cruciate Ligament (ACL) – full or partial ACL tear.

• The knee is flexed between 60 and 90 degrees with the foot resting on the exam table.
• The examiner puts both hands behind the tibia and attempts to displace the tibia anteriorly while the foot remains resting on the table.

• Increased tibial displacement with the foot in neutral indicates a positive Anterior Test Knee and an ACL Injury.
• It is graded by severity:
  1. Grade 1 = 5 mm
  2. Grade II = 5-10mm
  3. Grade III = > 10 mm.

• Sensitivity: 18- 92 %
• Specificity: 78-98 %

• Orthobullets
• Campbel's Operative Orthopaedics 13th Book