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

[@oksanasovinska7456]

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]

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

[@LadyRage1990]

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!

[@jacobnutter1639]

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

[@linneahorvath9965]

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

[@priyesharamteke3375]

Thanks for showing how the positive test looks like!

[@Physiotutors]

Ur welcome Priyesha!

[@ViagensGringa]

action happens at 1:40

[@Rubi-q9f]

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

[@bloozism]

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

[@Physiotutors]

Absolutely 😀 glad you found it helpful

[@pallabibanerjee1769]

I love ur teaching

[@Physiotutors]

thanks Pallabi!

[@asmaasamir7866]

Thank you for your efforts ❤

[@johnstavropoulos930]

Excellent work guys,keep it up!

[@cowsandpigsmaketheearthwar1471]

Love u guys

[@ascreation2147]

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

[@Dr..90]

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]

Good luck!!

[@sudheerkumar-iu6mp]

nice

[@snehasingh1000]

Massive thanx for needful video Sir.

[@Physiotutors]

you're welcome!

[@Physiotutors]

You're welcome, thanks for subscribing!

[@stefanr00]

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]

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

[@aqsarani5562]

Amazing vedio

[@ado75]

Excellent

[@anjleehere2943]

Amazing explanation 😀

[@khushbuhathiwala]

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

[@tariqhassan3046]

Thanks alot sir..

[@TheHadesShade]

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]

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

[@HafizahHoshni]

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

[@abbossitahseen2749]

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]

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]

@@Physiotutors ok thank u so much

[@trevoradderley411]

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

[@poojashah9457]

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

[@ziggyMcgee420]

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

[@shaiknaseem2164]

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

[@Physiotutors]

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

[@drivethetruckwithyourthumbout]

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

[@Physiotutors]

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.

[@Theprofessionalsurgeon]

tysm we love u

[@Physiotutors]

You're welcome 😊

[@paulsaint4316]

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.

[@jinggong2503]

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]

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

[@geraldang96]

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]

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

[@sukritf5512]

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]

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

[@salemg5299]

How to heal this?

[@yassinseddiki7275]

Please i need help

[@mftcreation4979]

Atfl chronic sprain recovary time?

[@pt.mohammedemam3939]

Is this planter flexion or Dorsi ?!

[@Physiotutors]

10 degrees of plantar flexion

[@balancedbodypopt]

is this more reliable than the prone version?

[@Physiotutors]

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!

[@oooooooone]

1:26

[@benbarson2810]

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

[@farahhussein3592]

👍

[@Physiotutors]

👍🏻

[@ketanhulawale3319]

🤙

[@Physiotutors]

🤜🤛

[@nandagopalchatterjee4424]

❤️

[@Ahzlaren]

lol Andreas you hangover bro?

[@Ahzlaren]

or having a cold

[@Physiotutors]

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

[@JL-eo9pu]

01:23

[@69shozzy]

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

[@Physiotutors]

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

[@frenchsmellyfeet4966]

Huge feet, more smell... 🤪🤪

[@VanshikaSharma-dh1zp]

Aaaeee ganja

[@TerryBoydPhoto]

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

[@Physiotutors]

Official test name is anterior drawer test

[@TerryBoydPhoto]

@@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]

@@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]

@@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]

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.