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Ankle Anterior Drawer Test

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1. Ankle Anterior Drawer Test

Ankle Anterior Drawer Test Ankle Anterior Drawer Test Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ankle Anterior Drawer Test Ankle (...) Anterior Drawer Test Aka: Ankle Anterior Drawer Test II. Indications evaluation III. Advantages in evaluation of ankle stability Most sensitive test Least painful test IV. Technique Patient positions foot in slight plantar flexion Brace anterior shin with left hand Pull heel anteriorly with right hand Positive test findings Laxity and poor endpoint on forward translation V. Interpretation of positive test: Grade 2-3 Ankle Sprain Anterior Talofibular ligament rupture Possible Calcaneofibular ligament

2018 FP Notebook

2. Anterolateral Drawer Versus Anterior Drawer Test for Ankle Instability: A Biomechanical Model. (PubMed)

Anterolateral Drawer Versus Anterior Drawer Test for Ankle Instability: A Biomechanical Model. The addition of unconstrained internal rotation to the physical examination could allow for detection of more subtle degrees of ankle instability. We hypothesized that a simulated anterolateral drawer test allowing unconstrained internal rotation of the ankle would provoke greater displacement of the lateral talus in the mortise versus the anterior drawer test.Ten cadaveric lower extremities were (...) tested in a custom apparatus designed to reproduce the anterior drawer test and the anterolateral drawer test, in which the ankle was allowed to internally rotate about the intact deep deltoid ligament while being subluxed anteriorly. Specimens were tested intact and with anterior tibiofibular ligament sectioned. A differential variable reluctance transducer was used to measure lateral talar displacement with anterior forces of 25 and 50 N.No significant differences in talar displacement or ankle

2015 Foot & Ankle International

3. Value of stress ultrasound for the diagnosis of chronic ankle instability compared to manual anterior drawer test, stress radiography, magnetic resonance imaging, and arthroscopy. (PubMed)

Value of stress ultrasound for the diagnosis of chronic ankle instability compared to manual anterior drawer test, stress radiography, magnetic resonance imaging, and arthroscopy. Clinicians frequently diagnose chronic ankle instability using the manual anterior drawer test and stress radiography. However, both examinations can yield incorrect results and do not reveal the extent of ankle instability. Stress ultrasound has been reported to be a new diagnostic tool for the diagnosis of chronic (...) ankle instability. The purpose of this study was to assess the diagnostic value of stress ultrasound for chronic ankle instability compared to the manual anterior drawer test, stress radiography, magnetic resonance imaging (MRI), and arthroscopy.Twenty-eight consecutive patients who underwent ankle arthroscopy and subsequent modified Broström repair for treatment of chronic ankle instability were included. The arthroscopic findings were used as the reference standard. A standardized physical

2015 Knee Surgery, Sports Traumatology, Arthroscopy

4. New method of diagnosis for chronic ankle instability: comparison of manual anterior drawer test, stress radiography and stress ultrasound. (PubMed)

New method of diagnosis for chronic ankle instability: comparison of manual anterior drawer test, stress radiography and stress ultrasound. To diagnose chronic ankle instability, clinicians frequently use manual anterior drawer test and stress radiography. However, both exams can yield incorrect results and do not reveal the extent of ankle instability. The use of stress ultrasound during a manual anterior drawer stress procedure might enable the diagnosis of chronic ankle instability.Seventy (...) -three patients with chronic ankle pain or laxity after remote ankle sprain were included. The study population included 41 males and 32 females. The mean age of the patients at the time of the operation was 29 years. A standardized physical examination (manual anterior drawer test), stress radiography and stress ultrasonography were performed to assess the anterior talofibular ligament (ATFL). Ultrasound images were taken in the resting position and the maximal anterior drawer position

2014 Knee Surgery, Sports Traumatology, Arthroscopy

5. Ankle Anterior Drawer Test

Ankle Anterior Drawer Test Ankle Anterior Drawer Test Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ankle Anterior Drawer Test Ankle (...) Anterior Drawer Test Aka: Ankle Anterior Drawer Test II. Indications evaluation III. Advantages in evaluation of ankle stability Most sensitive test Least painful test IV. Technique Patient positions foot in slight plantar flexion Brace anterior shin with left hand Pull heel anteriorly with right hand Positive test findings Laxity and poor endpoint on forward translation V. Interpretation of positive test: Grade 2-3 Ankle Sprain Anterior Talofibular ligament rupture Possible Calcaneofibular ligament

2015 FP Notebook

6. Allograft tendon reconstruction of the anterior talofibular ligament and calcaneofibular Ligament in the treatment of chronic ankle instability. (PubMed)

(range, 24-40 months). At final follow-up, all patients had returned to activity without instability, pain, or limited range of motion. On stress radiography, mean talar tilt angle decreased from 17.32° ± 3.58° before surgery to 4.16° ± 1.12° at follow-up (p < 0.001). Mean anterior drawer test (ADT) distance decreased from 9.79 ± 1.01 mm before surgery to 3.97 ± 0.99 mm at follow-up (p < 0.05). Mean AOFAS improved from 64.00 ± 18.43 to 90.32 ± 5.17 points (p < 0.001), and mean KAFS improved from (...) Allograft tendon reconstruction of the anterior talofibular ligament and calcaneofibular Ligament in the treatment of chronic ankle instability. The purpose was retrospectively to investigate functional and clinical outcomes after anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) reconstruction using a single allograft.Patients with severe chronic lateral instability of the ankle underwent surgery after conservative treatment failed. Ultrasounds of the ankle were performed

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2017 BMC Musculoskeletal Disorders

7. Radiography of the Ankle and Foot (Ottawa Ankle Rules)

, the Alberta Clinical Practice Guideline Program, in 1996 as a guideline to assist physicians to make decisions about use of radiography for patients with ankle injuries. The Ottawa Ankle Rules were developed, clinically tested and demonstrated that the use of these rules decreased ankle radiography use, waiting times, and costs without patient dissatisfaction or missed fractures. The investigator, Dr. Ian Stiell, a clinical epidemiologist with a focus on health services research in emergency medicine, led (...) of swelling in four locations, anterior drawer sign and ability to bear weight for at least four steps in the emergency department. The best agreement was judging ability to bear weight and good agreement judging bone tenderness. Findings related to ecchymosis, range of motion, soft tissue tenderness and anterior drawer sign were unreliable. The interobserver agreement was most reliable for bearing weight for four steps in the emergency department, swelling of the lateral malleolus, localized bone

2014 Toward Optimized Practice

8. Detecting ankle instability with an instrumented ankle arthrometer - an experimental study. (PubMed)

Detecting ankle instability with an instrumented ankle arthrometer - an experimental study. A new instrumented device was developed to quantify ankle joint stability during an anterior talar drawer test. The aim of the present study was to validate this device comparing bone kinematics with arthrometer measurement outcomes. An anterior talar drawer test was performed with 14 cadaver legs using a custom instrumented ankle arthrometer. Using clusters of bone-pin markers, the relative three (...) characteristic curves indicates a fair to good ability to discriminate between the intact and the sectioned conditions with the arthrometer. Distal distraction, inversion, and internal rotation movements were observed when two and three ligaments were cut. Results revealed that the ankle arthrometer was sensitive to detect changes in bone-to-bone movements during an anterior talar drawer test, when the anterior talofibular ligament was sectioned. Presumably due to movements in additional planes of motion

2019 Journal of Orthopaedic Research

9. CRACKCast E058 – Ankle and Foot

to instability Clinical FEATURES: History: mechanism of injury; onset of pain and swelling; weight bearing ability; “pop” noise 2) List Ankle stress tests Phyiscal exam: LOOK; FEEL pulses/max tenderness areas/sensation; MOVE + weight bear Frequently missed injuries: ?syndesmosis, fibular head #, fifth MT #, achilles tendon rupture; peroneal tendon rupture Stress tests: Of questionable significance in the ER Potential utility in a distal fibular fracture with deltoid complex pain Anterior drawer test Assesses (...) injuries: Ligament injuries: AntTFL > CalcFL > > PostTFL Grade I: stretching without tearing or joint instability Grade II: partial tear, SWELLING PAIN, and mod. instability Grade III: complete tear, severe edema and ecchymosis. Inability to wt. bear = grade 2/3 injury if no # **Must exclude deltoid ligament or syndesmosis injury** Ligament stress testing is moderately useful, and should be compared bilaterally Anterior drawer/talar tilt/external rotation test: lateral ligament injuries Look

2017 CandiEM

10. Chronic Ankle Pain

as “Varies”. Supporting Documents For additional information on the Appropriateness Criteria methodology and other supporting documents go to www.acr.org/ac. References 1. Cho JH, Lee DH, Song HK, Bang JY, Lee KT, Park YU. Value of stress ultrasound for the diagnosis of chronic ankle instability compared to manual anterior drawer test, stress radiography, magnetic resonance imaging, and arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1022-1028. 2. Dowling LB, Giakoumis M, Ryan JD. Narrowing (...) . New method of diagnosis for chronic ankle instability: comparison of manual anterior drawer test, stress radiography and stress ultrasound. Knee Surg Sports Traumatol Arthrosc. 2014;22(7):1701-1707. 60. Christodoulou G, Korovessis P, Giarmenitis S, Dimopoulos P, Sdougos G. The use of sonography for evaluation of the integrity and healing process of the tibiofibular interosseous membrane in ankle fractures. J Orthop Trauma. 1995;9(2):98-106. ACR Appropriateness Criteria ® 16 Chronic Ankle Pain 61

2017 American College of Radiology

11. Ankle and Foot Surgical Guideline

Ligament Repair/ Reconstruction e.g. Br?strom procedure, Watson- Jones procedure Severe ankle sprain or recurrent sprains leading to instability A discrete documented work-related ankle injury AND Ankle “gives way” OR Swelling OR Difficulty walking on uneven ground Positive instability testing: e.g. Anterior drawer testing OR Asymmetric inversion laxity (when compared to contralateral side) Bilateral stress X-rays w/ asymmetrical stress tests: Talar tilt > 10 degrees OR Anterior displacement index (...) such as Thompson, Squeeze, External Rotation Stress, Anterior Drawer, and the Talar Tilt test. 37 In addition to performing a thorough exam, it is critical to get an accurate history of injury occurrence, previous injuries, and underlying comorbidities/ risk factors, which may predispose the worker to further foot and ankle injury. A. Imaging The recommended imaging procedures for various foot and ankle surgeries are specified in the criteria table. Weight bearing x-rays are recommended when determining

2017 Washington State Department of Labor and Industries

12. Ankle Taping and Functional Ankle Instability

for Study: 20 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: participants had to have sustained at least two ankle sprain from a sudden inversion trauma, at least one month prior, which resulted in pain and swelling over the lateral ligament and limping, and have at least moderate functional ankle instability a score of <27 on the Cumberland Ankle Instability Tool (CAIT) anterior drawer test: negative talar tilt test (...) functional mobility tests with and without the ankle taped. The functional tests are: figure-8 hopping test, lateral hopping test, star excursion balance test (SEBT), single-leg stance and stair decent test. Secondary outcome measures were self-efficacy and perception measure. Statistics: Two-way analysis of variance with repeated measures was used to determine the effects of intervention on each dependent variable. Model effects were group, time (pre, post), and their interaction. Post hoc pairwise

2017 Clinical Trials

13. All-Inside Single-Bundle Reconstruction of the Anterior Cruciate Ligament with the Anterior Half of the Peroneus Longus Tendon Compared to the Semitendinosus Tendon: A Two-Year Follow-Up Study. (PubMed)

randomized controlled study was performed to compare the results of 62 cases of all-inside anatomical single-bundle anterior cruciate ligament (ACL) reconstruction using the AHPLT and 62 cases using semitendinosus graft with an average of 30.0 ± 3.6 months' follow-up. Tunnel placements of enrolled cases were measured on three-dimensional (3D) computed tomography (CT) and X-ray imaging. Knee stability was assessed using the anterior drawer test, pivot shift test, and KT-1000. The International Knee (...) 1000 measurements (1.71 ± 0.57 vs. 1.85 ± 0.77), pivot shift test, and Visual Analogue Scale (VAS) (0.15 ± 0.36 vs. 0.10 ± 0.30). No obvious ankle site complications were found at 24 months. The average AOFAS score of the AHPLT group was comparable to that of the semitendinosus tendon group (99.1 ± 1.40 vs. 99.5 ± 1.21). There was no significant difference in clinical outcomes or knee stability between the semitendinosus group and the AHPLT group at the 2-year follow-up. An AHPLT autograft may

2018 The journal of knee surgery

14. Posterolateral ankle ligament injuries affect ankle stability: a finite element study. (PubMed)

Posterolateral ankle ligament injuries affect ankle stability: a finite element study. We have already discovered 23 patients during the work of the outpatient department and operations whose unstable signs on the posterolateral ankle. The anterior drawer test demonstrated normal during the physical examinations while the spaces of the posterior tibiotalar joints increased in stress X-ray plain films. ATFL intact and posterolateral ligaments lax were found during operations too. It is important (...) to make existence claims and illuminate the mechanism of posterolateral ankle instability.A finite element model of the ankle was established for simulating to cut off posterolateral ligaments in turn. Ankle movements with tibia rotation under load on five forefoot positions were simulated as well.The difference values with tibia external rotation were negative, and the positive results occurred with tibia internal rotation. The tibia-talus difference values in some forefoot positions were 2 ~ 3 mm

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2016 BMC Musculoskeletal Disorders

15. Medial malleolar stress fracture resulting from repetitive stress caused by lateral ankle instability: A case report. (PubMed)

using tension bend wiring, and an arthroscopic modified Broström procedure was done.Two months postoperatively, the patient started walking, and raised-heel squatting. The medial malleolar fracture was completely united at the 3 months postoperatively on plain radiography, and return to full activity was achieved by 3 months postoperatively. Then the hardware was removed 1-year after operation and both the anterior drawer and external rotation stress tests were negative.Medial malleolar stress (...) showed a vertical fracture line in the medial malleolus. Computed tomography also showed the vertical fracture in the medial malleolus. Magnetic resonance imaging revealed mild bone marrow edema in the medial malleolar area and total rupture of the anterior talofibular ligament.Surgery was performed under general anesthesia, and we checked the instability of his ankle using a C-arm image intensifier, and the varus talar tilt angle was increased (10.3°). The medial malleolus stress fracture was fixed

2019 Medicine

16. Arthroscopic Versus Open Brostrom for Ankle Instability

(Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Individuals must be older than 18 and younger than 65 years of age, both genders; Participants must be experiencing instability symptoms at the ankle over the last six months; Clinical diagnosis of ankle instability, defined as the presence of at least one previous ankle sprain associated with a current instability sensation by the patient and the presence of a positive anterior drawer test (...) ), American Orthopedic Foot and Ankle Society (AOFAS), the Visual Analogue Scale (VAS), the Foot Function Index (FFI) and the 36 Item Short Form Health Survey (SF-36). The investigators will use Comparison of Two Proportions via relative frequency analysis, the Pearson Correlation the Chi-Square test and the ANOVA for statistical analyses. Discussion: This study intends to establish if the arthroscopic Brostrom technique can produce excellent and reliable results when treating chronic ankle instability

2018 Clinical Trials

17. Lateral ligament reconstruction and augmented direct anatomical repair restore ligament laxity in patients suffering from chronic ankle instability up to 15 years from surgery. (PubMed)

stability scale, and objective examination comprehending ROM, anterior drawer sign and talar tilt test. Telos Stress equipment was used for pre- and post-operative radiographic laxity testing.No major complications were reported. Mean overall AOFAS, Karlsson-Peterson and Tegner scores significantly increased at follow-up compared to pre-operatory status, although no statistically significant differences concerning these variables were reported between the two groups. Sagittal ROM was full in 36 patients (...) Lateral ligament reconstruction and augmented direct anatomical repair restore ligament laxity in patients suffering from chronic ankle instability up to 15 years from surgery. The purpose of the present study was to compare the outcomes of patients who underwent augmented direct anatomical repair using a Broström-Gould procedure with those who underwent lateral ligament reconstruction using a split peroneus brevis tendon for the treatment of chronic ankle instability.Forty patients aged 18-40

2018 Knee Surgery, Sports Traumatology, Arthroscopy

18. Platelet-rich Plasma for Chronic Lateral Ankle Instability

analogue scale [ Time Frame: 3-month postoperative ] Ankle pain is evaluated by visual analogue scale 3-month postoperative anterior displacement of ankle evaluated by stress radiographs of anterior drawer test [ Time Frame: 3-month postoperative ] Anterior displacement is evaluated by the anterior displacement of the talus relative to the tibia on stress radiographs of anterior drawer test. 3-month postoperative lateral tilt of ankle evaluated by stress radiographs of talar tilt test [ Time Frame: 3 (...) -month postoperative ] Lateral tilt of ankle is evaluated by stress radiographs of talar tilt test. Percentage of patients with healed ligament evaluated by MRI [ Time Frame: 3-month postoperative ] Healing condition of ligament is assessed by MRI. Percentage of patients with healed ligament evaluated by second look arthroscopy [ Time Frame: 3-month postoperative ] Healing condition of ligament is assessed by second look arthroscopy. Eligibility Criteria Go to Information from the National Library

2017 Clinical Trials

19. Arthroscopic Lateral Ligament Repair Through Two Portals in Chronic Ankle Instability (PubMed)

and 4 females, and aged from 17-42 years (mean 28 years). All patients presented a history of more than three ankle sprains in the last two years and presented positive anterior drawer and talar tilt test of the ankle in the physical examination. We perform an anterior arthroscopy of the ankle in order to treat asociated disease and then we performed "All inside¨ lateral ligament repair through two portals (anteromedial and anterolateral) using an anchor knotless suture.Clinical outcome evaluations (...) Arthroscopic Lateral Ligament Repair Through Two Portals in Chronic Ankle Instability Injury to the lateral ligament complex of the ankle is one of the most common sports-related injury. Usually lateral ankle evolves with excellent clinical recovery with non surgical treatment, however, near about 30% develop a lateral chronic instability sequela. Several open and arthroscopic surgical techniques have been described to treat this medical condition.Of the 22 patients who were treated; 18 males

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2017 The open orthopaedics journal

20. Use of three-dimensional finite element models of the lateral ankle ligaments to evaluate three surgical techniques (PubMed)

), and an allogeneic tendon] were used for lateral collateral ligament reconstruction. The ankle varus stress and anterior drawer tests were performed to compare the three surgical techniques. Results The ankle varus stress test showed that the equivalent stresses of the anterior talofibular ligament (ATFL) (84.00 MPa) and calcaneofibular ligament (CFL) (27.01 MPa) were lower in allogeneic tendon reconstruction than in the other two techniques but similar to those of normal individuals (138.48 and 25.90 MPa (...) , respectively). The anterior drawer test showed that the equivalent stresses of the ATFL and CFL in autologous PLT reconstruction (31.31 and 28.60 MPa, respectively) and PBT reconstruction (31.47 and 29.07 MPa, respectively) were lower than those in allogeneic tendon reconstruction (57.32 and 52.20 MPa, respectively). Conclusions The allogeneic tendon reconstruction outcome was similar to normal individuals. Allogeneic tendon reconstruction may be superior for lateral ankle ligament reconstruction without

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2017 The Journal of international medical research

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