Ankle Posterior Drawer Test Special Test

What is it used for?

• Assessing the Posterior Talofibular Ligament (PTFL) and posterior instability.

How to Perform

• Position: Patient lies supine. Foot is relaxed in slight plantar flexion (20°).
• Stabilization: Hold the lower leg (tibia/fibula) steady.
• Action: Grasp the heel (calcaneus) and push it backward (posteriorly) and downwards.

Interpretation of Results

• Positive Test: Excessive backward movement of the foot.
• Signs: A "clunk" or suction sign may be felt/seen if the ligament is ruptured.

References

• Magee, D. J. (2021). Orthopedic Physical Assessment (7th ed.). Elsevier.