Anterior Drawer of the Ankle
Original Editor - Staci Burns
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Purpose
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The purpose of this test was to determine whether ankle mechanical instability or hypermobility in the sagital plane is present.
Technique
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The patient is supine, The heel is drawn anterior and the amount of translation is observed and is most indicative of a rupture of the anterior tibiofibular ligament. The test is graded on a 4-point scale. 0 represents no laxity and 3 represents gross laxity.
Evidence[edit | edit source]
Anterior drawer has sensitivity of 86 percent and specificity of 74 percent for a diagnostic test of 160 patients with an inversion ankle sprain when compared to an arthrogram. The +LR .22 and -LR .0018.
Resources[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References
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van Dijk C, et al. Physical Examination is sufficient for the diagnosis of sprained ankles. J Bone Joint Surg. 1996;78-B:958-962.