Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Posterior drawer test

Positioning.

The subject lies in the supine position with the knee flexed to a right angle, and the
heel resting on the couch. The examiner sits on the foot of the subject. The heel of one hand is placed on the tibial tuberosity and the other hand is placed at the back of the upper tibia.

Procedure.

Push the tibia backwards with a strong jerk of the anterior hand. The posterior
hand in the popliteal fossa discloses any eventual movement.

Common mistakes.

None.

Normal functional anatomy:

• Range: no movement can be provoked in a normal knee
• End-feel: hard ligamentolls
• Limiting slmetllres: posterior cruciate ligament.

Common pathological situations:

• Pain is indicative of a small lesion of the posterior cruciate ligament.
• lncrease in range is seen in ruptures of the posterior cruciate ligament and/or the
arcuate complex.

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