Anterior Drawer Test of the Knee
Original Editor - Kathryn Schwartzkopf-Phifer
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Purpose
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To test the integrity of the anterior cruciate ligament (ACL)
Technique
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The patient is supine and the knee to be tested is flexed to approximately 90 degrees. The examiner then sits on the toes of the tested extremity to help stabilize it. The examiner grasps the proximal lower leg, approximately at the tibial plateau or joint line, and attempts to translate the lower leg anteriorly.
Evidence
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Sensitivity and specificity has been reported as .41-.91 and .86-1.0 respectively, with a -LR of .09-.62 and a +LR of 5.4-8.2.[1] More recent research has identified the anterior drawer test as a more effective test to identify chronic conditions, with a sensitivity and specificity of .92 and .91.[2]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Flynn TW, Cleland JA, Whitman JM. Users' guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. United States: Evidence in Motion; 2008.
- ↑ Benjaminse A, Gokeler A van der Schans CP. Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis. J Orthop Sports Phys Ther. 2006;36(5):267-88.
