Video – Anterior Drawer Test

Videos to help you sharpen your examination skills.
Educators are welcome to play these videos in class directly from this website.
Copyright © All rights reserved. Chiropractic Online CE ™ and Educom Continuing Education™

Video Playback Issues: If videos don’t play, it could be because you’ve remained on this web page for too long or you’ve lost your Internet connection. To resolve this issue, simply “refresh” or “reload” this web page.

No Sound?  If you’re playing a video and the sound isn’t working, it may be because the sound is off. When playing a video from a desktop computer, you will see a series of vertical bars at the bottom right corner of the video. When the vertical bars are blue, it means the sound is on (see image 1 below). If the vertical bars are grey, it means the sound is off (see image 2). To turn on the sound of a video, click on each vertical grey bar until all the bars become blue. On smaller devices such as a tablet or a phone, simply increase the volume of the device to be able to hear a video.

Select Exam Videos by Region Below

Select Exam Videos by Title Below

Anterior Drawer Test

The Anterior Drawer test is used to detect anterior cruciate ligament insufficiency.

To perform this test, have the patient lie in the supine position with their hips flexed to 45˚ and their knees flexed to 90˚. Sit across the dorsum of the foot to stabilize its position while grasping the tibia and resting the thumbs on either side of the patellar tendon. Pull the leg forward and observe and feel for the extent of tibial displacement.

Tibial displacement of about 5 mm is considered normal. Displacement of more than 5 mm, or more than that of the uninvolved side, is a positive test indicating anterior cruciate ligament insufficiency.

It is important to note that, in acute injuries, the Anterior Drawer test is not accurate and therefore less useful because:

• Joint effusion prevents visualization of the displacement,
• Hypertonic hamstrings resist the forward translation,
• The posterior capsule and the medial collateral ligament serve as secondary restraints.

In chronic injuries, however, the anterior drawer test becomes more accurate as there is:

• No inflammation or muscular hypertonicity
• Attenuation of the secondary restraints has occurred.

Before performing the Drawer test, the anterior profile of the patient’s knee should be inspected for evidence of a posterior sag sign. This sign is described in a separate video.

A Chiropractic Online CE™ Production. Copyright © Educom Pty Ltd.
Please read the Disclaimer and Copyright statements at the bottom of this web page.

Disclaimer:  The Chiropractic Online CE  website (including the text, graphics and videos that appear on the chiropracticonlinece.com) are designed to offer users general health information for educational purposes only. The general health information furnished on this site is not intended to replace personal consultation with a qualified healthcare professional. You must always seek the advice of a healthcare professional for questions related to your disease, disease symptoms, and appropriate therapeutic treatments.

Copyright © Educom Pty Ltd: All material on this website (including the text, graphics, videos and downloadable files) are owned by or licensed to Educom Pty Ltd and is subject to copyright and other intellectual property rights under international conventions.