Lateral Pivot Shift Test of the Elbow
Other Names
- LCL Pivot Shift Test
- Lateral pivot shift apprehension test
- Elbow apprehension test
- PLRI test
- Lateral Pivot-Shift Apprehension Test
- Pivot Shift for Elbow Test
- Postero-lateral Rotatory Apprehension Test
- Postero-lateral Rotatory Instability Test
- Posterolateral Rotatory Instability (PLRI) Test
- Elbow Pivot Shift Test
- Posterolateral Pivot Shift Test
- Pivot Shift Test of the Elbow
- O’Driscoll Pivot Shift Test
- Lateral Elbow Pivot Shift Test
- Posterolateral Rotatory Instability Maneuver
Purpose
- Evaluate integrity of Lateral Collateral Ligament Complex (Elbow)
- Proposed by O'Driscoll et al in 1994[3]
Description
- Patient is supine, arm abducted overhead
- Elbow extended, forearm supinated
- Axial force applied down humerus
- Valgus force applied to elbow
- Maintain axial & valgus forces while flexing & extending elbow
- May cause radial head subluxation posterolaterally & skin dimpling
- Positive test
- Triceps tendon will reduce the lax or unstable radial head
- Apprehension & reduction of radial head/clunk during flexion
Pathology
Evidence
- Unknown
See Also
References
- ↑ Anakwenze, Oke A., et al. "Posterolateral rotatory instability of the elbow." The American journal of sports medicine 42.2 (2014): 485-491.
- ↑ Camp, Christopher L., Jay Smith, and Shawn W. O'Driscoll. "Posterolateral rotatory instability of the elbow: Part II. Supplementary examination and dynamic imaging techniques." Arthroscopy techniques 6.2 (2017): e407-e411.
- ↑ O’Driscoll S, Bell D, Morrey BF. Posterolateral rotatory instability of the elbow. J Bone Joint Surg Am. 1991;73(3):440–446.
Created by:
John Kiel on 17 December 2019 02:45:48
Authors:
Last edited:
21 January 2026 15:19:57
Category: