Anterior Drawer Test of the Knee

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 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 which 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 %

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