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Anterior Drawer Test of the Ankle | Chronic Ankle Laxity & Anterior Talofibular Ligament Rupture

Anterior Drawer Test of the Ankle | Chronic Ankle Laxity & Anterior Talofibular Ligament Rupture


In this video we will take a look at the Anterior Drawer Test for anterior talocrural joint laxity, after ankle inversion trauma Hi, welcome back to Physiotutors Patients who experienced ankle inversion trauma can be left with talocrural joint laxity Croy et al. (2013) investigated the anterior draws ability to detect laxity when compared to recent imaging They found two cut off points for talocrural joint laxity The first one was set 2.3 millimeters or greater in the talofibular interval and the second one at 3.7 millimeters or greater values for sensitivity and specificity were 74% and 38% for the first interval and 83% and 40% for the second interval secondly from Van Dijk et al. (1996) evaluated 160 patients within five days after inverted trauma and found the sensitivity of 96% and the specificity of 84% for a rupture of the anterior talofibular ligament So it appears that the anterior drawer test has a high clinical value to detect a ligament rupture in an acute situation but performs rather weak for chronic laxity To conduct the test the patient lies in supine position with the knee joint slightly flexed and the ankle joint is held in 10 to 15 degrees of plantar flexion Then grasp the patient’s heel with the contralateral Hand while the patient’s foot lies on the anterior aspect of your forearm. With the other hand Fixates the patient’s tibia as close as possible to the joint line and then draw the foot anteriorly Alternatively you can place the patient’s foot on the table and use a plinth To put the patient’s foot into 10 to 15 degrees of plantar flexion then fixate the foots position grasp the tibia with your other hand and push the tibia posteriorly In a positive test you would feel increased anterior Translation compared to the unaffected ankle and might be able to observe a dimple appearing on the anterolateral aspect of the talus Miller et al. (2016) conducted a cadaver study and found that when allowing the talocrural joint to Internally rotate around the axis of the intact deltoid ligament. It was able to detect more subtle degrees of ankle instability Alright before you leave make sure to give this video a thumbs up And if you’re new here subscribe to our channel for more videos every week check the links in the video description down below and follow us on other social media and make sure to check out our website at Physiotutors.com, you can continue by watching our Ankle Sprain Assessment playlist on the left and As always this was Andreas for Physiotutors. I’ll see you next time bye

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