Execution:
- Patient is in supine lying position with the hip in 45° and the knee in 90° of flexion. The examiner can fixate this position by sitting on the patient’s forefoot
- The examiner then palpates the joint line with the thumbs while grabbing onto the tibia posteriorly
- The examiner then translates the tibia anteriorly in an explosive movement
Positive Outcome: Soft or mushy end-feel or anterior translation on the tested knee is >6mm compared to the other knee
| Study |
Reliability |
Sn | Sp | LR+ |
LR- |
| Benjaminse et al. (2006) |
NA |
55 | 92 | 7.3 |
0.5 |
| Van Eck et al. (2013) |
NA |
38 | 81.5 | 4.52 |
0.67 |
| Huang et al. (2016) |
NA |
72.5 | 92.7 | 6.79 |
0.29 |
| Peeler et al. (2010) | Inter-rater ĸ=0.46-0.73 | NA | NA | NA |
NA |
| Zhao et al. (2021) | NA | 64.2 | 93.2 | 9.44 |
0.38 |
| Huang et al. (2022) | NA | 64 (61-68) |
87 (84-90) | 3.57 (2.13-5.96) |
0.44 (0.32-0.59) |
| Tanaka et al. (2022) | NA | 78 (73-82) |
91 (86-95) | 6.7 (1.96-22.86) |
0.23 (0.09-0.63) |
| Sokal et al. (2022) | NA | 83 (77-88) |
85 (64-95) |
6.34 (2.32-15.3) |
0.2 |
| Comment: While the Anterior Drawer Test is a great test in chronic situations, it has no clinical value in an acute situation | |||||
