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

Enroll in our online course: bit.ly/PTMSK DOWNLOAD OUR APP:
📱 iPhone/iPad: goo.gl/eUuF7w
🤖 Android: goo.gl/3NKzJX GET OUR ASSESSMENT BOOK ▶︎▶︎ bit.ly/GETPT ◀︎◀︎
This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The anterior drawer test has limited diagnostic ability for chronic ankle laxity but performs well in an acute situation to diagnose ruptures of the anterior talofibular ligament commonly injured after ankle inversion trauma
 HELP TRANSLATE THIS VIDEO 
If you liked this video, help people in other countries enjoy it too by creating subtitles for it. Spread the love and impact. Here is how to do it: • Video
 SUPPORT US  : bit.ly/SPPRTPT 
ARTICLES:
Croy (2013): www.ncbi.nlm.nih.gov/pubmed/2...
Van Dijk (1996): www.ncbi.nlm.nih.gov/pubmed/9...
Miller (2016): www.ncbi.nlm.nih.gov/pubmed/2...
Visit our Website: bit.ly/web_PT
Like us on Facebook: bit.ly/like_PT
Follow on Instagram: bit.ly/IG_PT
Follow on Twitter: bit.ly/Tweet_PT
Snapchat: bit.ly/Snap_PT

Пікірлер: 81

  • @oksanasovinska7456
    @oksanasovinska74566 жыл бұрын

    I REALLY like how you showed the laxities when you were talking about how the test can be positive. I am more of a visual learner, so seeing the actual abnormalities is very useful! Thank you!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    We try to visualize everything as good as possible! Glad you like it and thanks for following us!

  • @jacobnutter1639
    @jacobnutter16393 жыл бұрын

    3 years into PT school, still watching your videos regularly. They are perfect.

  • @linneahorvath9965
    @linneahorvath99654 жыл бұрын

    Thank you for providing scholarly articles! It helped with my research on ankle instability!🙏🏼

  • @LadyRage1990
    @LadyRage1990 Жыл бұрын

    You guys are saving my life with all these special tests :). I have a special test quiz tomorrow and these videos are such a huge help! Thank you!

  • @johnstavropoulos930
    @johnstavropoulos930 Жыл бұрын

    Excellent work guys,keep it up!

  • @anjleehere2943
    @anjleehere29433 жыл бұрын

    Amazing explanation 😀

  • @ViagensGringa
    @ViagensGringa6 жыл бұрын

    action happens at 1:40

  • @asmaasamir7866
    @asmaasamir7866Ай бұрын

    Thank you for your efforts ❤

  • @priyesharamteke3375
    @priyesharamteke33755 жыл бұрын

    Thanks for showing how the positive test looks like!

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Ur welcome Priyesha!

  • @poojashah9457
    @poojashah94572 жыл бұрын

    You mentioned ADT is good in acute stage but not in chronic. You know which test to use in chronic ?

  • @aqsarani5562
    @aqsarani55622 жыл бұрын

    Amazing vedio

  • @user-ts8xm5rk9y
    @user-ts8xm5rk9y4 ай бұрын

    youd video is so fabulous.my all batchmates seeing your videos during viva practical its soo helpful

  • @sudheerkumar-iu6mp
    @sudheerkumar-iu6mp6 жыл бұрын

    nice

  • @bloozism
    @bloozism3 жыл бұрын

    So much better to see it in motion versus reading it in a text

  • @Physiotutors

    @Physiotutors

    3 жыл бұрын

    Absolutely 😀 glad you found it helpful

  • @ziggyMcgee420
    @ziggyMcgee4202 жыл бұрын

    If the ligaments are stretched or torn does that make the peroneal tendons loose? And is that an issue?

  • @tariqhassan3046
    @tariqhassan30462 жыл бұрын

    Thanks alot sir..

  • @pallabibanerjee1769
    @pallabibanerjee17695 жыл бұрын

    I love ur teaching

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    thanks Pallabi!

  • @trevoradderley411
    @trevoradderley411 Жыл бұрын

    heard a loud pop in shoulder blade area. Any idea what this may be ?

  • @snehasingh1000
    @snehasingh10006 жыл бұрын

    Massive thanx for needful video Sir.

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    you're welcome!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    You're welcome, thanks for subscribing!

  • @cowsandpigsmaketheearthwar1471
    @cowsandpigsmaketheearthwar14715 ай бұрын

    Love u guys

  • @ado75
    @ado753 ай бұрын

    Excellent

  • @salemg5299
    @salemg52996 жыл бұрын

    How to heal this?

  • @TheHadesShade
    @TheHadesShade5 жыл бұрын

    I might have missed it but does the article say anything about when the acute situation becomes a chronic laxity? Is it only based on the average time that connective tissue needs to heal or also on other things?

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    The article doesn't say anything about that, but have a look at this: journals.sagepub.com/doi/abs/10.3113/FAI.2007.0343

  • @khushbuhathiwala
    @khushbuhathiwala Жыл бұрын

    can you tell me why did you plantarflex the ankle and flex the knee?

  • @ascreation2147
    @ascreation21473 жыл бұрын

    How rest? Anterior tibiofibular ligament is thickened-chronic sprain. Recovery time???? Plz reply?

  • @geraldang96
    @geraldang964 жыл бұрын

    Hello @Physiotutors I didnt manage to understand the last part where u mentioned about subtle detection of ankle instability from the cadaver study. So how would ankle instability be detected with inversion of intact deltoid ligament? What should the therapist be feeling for?

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    Anterior translation is increased in case the anterior talofibular ligament is ruptured

  • @mftcreation4979
    @mftcreation49793 жыл бұрын

    Atfl chronic sprain recovary time?

  • @drivethetruckwithyourthumbout
    @drivethetruckwithyourthumbout6 жыл бұрын

    How does ATFL rupture affect motor strength when testing for inversion, eversion etc? Is there a specific gait pattern noted with this?

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Pain always reduces motor output. Inversion will be painful at end-range. Like with every injury our body tries to protect the painful body part by making it stiff. So you will most likely see reduced dorsi and plantarflexion during gait.

  • @stefanr00
    @stefanr006 жыл бұрын

    I use my index finger of the fixating hand to palpate the talocrural jointline. I feel this makes it easier to test for anterior glide of the talocrural joint.

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Definitely a good remark Stefan to potentially make this test more reliably and valid!Thx

  • @yassinseddiki7275
    @yassinseddiki72752 жыл бұрын

    Please i need help

  • @Theprofessionalsurgeon
    @Theprofessionalsurgeon Жыл бұрын

    tysm we love u

  • @Physiotutors

    @Physiotutors

    Жыл бұрын

    You're welcome 😊

  • @HafizahHoshni
    @HafizahHoshni5 жыл бұрын

    This video is amazing! Thanks for uploading them. 22/12/2018 😃😃

  • @abbossitahseen2749
    @abbossitahseen27495 жыл бұрын

    hello, just i have 2 question: why you flex the knee during performing the test ? why you perform the test in 10 to 15 degree of plantar flexion ?

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    The knee is flexed in the second position to place the foot on the table. 10 - 15° of plantar flexion is the maximally loose packed position (the position with the least capsular tension): allows for maximal translation

  • @abbossitahseen2749

    @abbossitahseen2749

    5 жыл бұрын

    @@Physiotutors ok thank u so much

  • @jinggong2503
    @jinggong25034 жыл бұрын

    Hi, I have ATFL and CFL rupture. Now ultrasound indicates CFL has recovered, but ATFL is still torn. My doc gave me the drawer test and it turned out it is quite stable. Any suggestions? Thanks!!!

  • @Physiotutors

    @Physiotutors

    4 жыл бұрын

    That's good news. Focus should be on function anyways. There are quite a lot of people with high degrees of mechanical instability, but who have good function depite

  • @balancedbodypopt
    @balancedbodypopt6 жыл бұрын

    is this more reliable than the prone version?

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Don't know the prone version, but we'd have to have studies investigating the reliability of both versions to really be able to tell!

  • @shaiknaseem2164
    @shaiknaseem2164 Жыл бұрын

    Why should we have to mantain ankle in 15° plantarflexion ?

  • @Physiotutors

    @Physiotutors

    Жыл бұрын

    its the MLPP (maximally lose packed position) of the Talocrural joint. 10-15° plantarflexion

  • @Dr..90
    @Dr..90 Жыл бұрын

    God willing i will have ortho exam after two days i wish i well done this exam ✌🏻 thank u so much allah bless u

  • @Physiotutors

    @Physiotutors

    Жыл бұрын

    Good luck!!

  • @sukritf5512
    @sukritf55125 жыл бұрын

    Its been a yeasr sinceI had my ankle ligament tear and there is still a lot of pain and I have tried everything except the surgery I am should go for surgery or not or any other treatment

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Impossible to say from afar. We'd recommend you to get in touch with our partners from www.yourphysio.online to get individualized advice!

  • @pt.mohammedemam3939
    @pt.mohammedemam39395 жыл бұрын

    Is this planter flexion or Dorsi ?!

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    10 degrees of plantar flexion

  • @paulsaint4316
    @paulsaint4316 Жыл бұрын

    These videos really are very helpful, but they are also aesthetically appealing. His foot is extraordinarily beautiful: long and muscular, ideal for sculpture modeling! His long, slender toes almost look like fingers! Wow. I would go as far as saying that he has the most beautiful feet I've encountered online.

  • @nandagopalchatterjee4424
    @nandagopalchatterjee44244 жыл бұрын

    ❤️

  • @farahhussein3592
    @farahhussein35926 жыл бұрын

    👍

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    👍🏻

  • @ketanhulawale3319
    @ketanhulawale33196 жыл бұрын

    🤙

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    🤜🤛

  • @oooooooone
    @oooooooone4 жыл бұрын

    1:26

  • @benbarson2810

    @benbarson2810

    3 жыл бұрын

    Bro went to teaching. And speaking a whole bunch of numbers

  • @JL-eo9pu
    @JL-eo9puАй бұрын

    01:23

  • @Ahzlaren
    @Ahzlaren6 жыл бұрын

    lol Andreas you hangover bro?

  • @Ahzlaren

    @Ahzlaren

    6 жыл бұрын

    or having a cold

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Haha, hungover can't be - Andreas doesn't drink a sip of alcohol! Kai tries to compensate for that though!;)

  • @69shozzy
    @69shozzy6 жыл бұрын

    Jesus H. What's that they say about big feet? Or, maybe you have tiny hands!

  • @Physiotutors

    @Physiotutors

    6 жыл бұрын

    Haha, I know that I got huge feet!;) Hands are equally big though

  • @frenchsmellyfeet4966

    @frenchsmellyfeet4966

    4 жыл бұрын

    Huge feet, more smell... 🤪🤪

  • @VanshikaSharma-dh1zp
    @VanshikaSharma-dh1zp2 ай бұрын

    Aaaeee ganja

  • @TerryBoydPhoto
    @TerryBoydPhoto5 жыл бұрын

    DRAW, not drawer (sorry to be a pedant...)

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    Official test name is anterior drawer test

  • @TerryBoydPhoto

    @TerryBoydPhoto

    5 жыл бұрын

    @@Physiotutors "Official" is incorrect, sorry. We "draw" one bone toward us while fixing another. It is a verb, not somewhere to keep your socks and undies 😉

  • @Physiotutors

    @Physiotutors

    5 жыл бұрын

    @@TerryBoydPhoto The test does indeed refer to a "drawer" where you keep your socks and undies. In German it's called "Schubladen" test or in Dutch "schuiflade".

  • @TerryBoydPhoto

    @TerryBoydPhoto

    5 жыл бұрын

    @@Physiotutors Poor grammar notwithstanding, huh? I don't recall the ADT, for either ankle or knee, as being a German or Dutch test. I always assumed US or British (for no good reason). But as I've said, we don't "drawer" something towards us. We draw it towards us: it is drawn. Thus, one is correct English and the other is not.

  • @homesteadmidwife

    @homesteadmidwife

    4 жыл бұрын

    Terry, do you have any medical background or knowledge? The actual name of the test is "Anterior Drawer Test" not anterior draw test. He is saying it correctly.