Ankle anterior drawer test The examiner fixes the distal tibia with one hand, holds the heel with the other hand and tries to dislocate the talus anteriorly with forward force. A positive anterior drawer test of the ankle is often seen in cases of ankle sprain. What is the talar tilt test? The talus tilt test is a test to check the integrity of the heel-fibular ligament and anterior talofibular ligament by holding the heel of the foot and turning the talus inward. A positive talus tilt test occurs when the ankle is severely sprained. Grading of ankle sprain Grade I: Negative anterior drawer test and negative talar tilt test. Grade II: Positive anterior drawer test and negative talar tilt test. Grade III: Positive anterior drawer test and positive talar tilt test.