In the presence of a rupture of the anterior talofibular ligament, usually combined with injury to the capsule, the talus, and with it the foot, rotates anteriorly out of the ankle mortise around the intact medial (deltoid) ligament of the ankle, which serves as the center of rotation.Pulling the foot anteriorly Starting position Anterior Drawer Test of the ankle See Also: Posterior Drawer Test of the ankle What does a positive Anterior Drawer Test of the ankle mean? The tibia can be pushed posteriorly as the calcaneus is drawn anteriorly. The anterior drawer test of the ankle may be performed with the patient supine, but the knee must be kept in a minimum of 30° flexion to eliminate the influence of the gastrocnemius muscle. After asking the patient to relax the muscles, the examiner pulls the heel forward while continuing to stabilize the tibia with the other hand.
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