Pivot Shift Test

Pivot Shift Test is used to diagnosis of rotatory instability related to injury of anterior cruciate ligament ACL…
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 Pivot Shift Test

What is Pivot Shift Test?


How it's Performed?

  • Flexing the knee from 0° (full extension) to 90° of knee flexion while applying an internal rotation stress to the tibia and a valgus stress to the knee.

What does a positive Pivot Shift Test mean?

  • A positive test is seen with a rapid anterior subluxation of the tibia at 20–30° of flexion as it reduces under the femoral condyles.
  • Functionally, this is reproducing the event that occurs when the knee gives way due to ACL rupture.

Sensitivity & Specificity

  • Sensitivity: 24 %
  • Specificity: 98 %

Notes

Reference


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Valgus Test of the knee

Valgus Test of the knee is used for the integrity of the medial collateral ligament.

Lachman Test

Lachman Test is used to Assess the integrity of the anterior cruciate ligament (ACL)

Dial Test

The purpose of the Dial Test is to diagnose Posterolateral Knee Instability.

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