Pivot Shift Test
- Pivot Shift Test
- To evaluate the integrity of the Anterior Cruciate Ligament in patients with knee pain
- The patient is in the supine position
- Examiner holds the patient’s lower leg
- Start with the knee in extension and flexion of the hip to 20-30°
- Bring the tibia into the internal rotation with one hand and begin placing valgus stress on the knee using the other hand.
- While holding this position, the knee should now be flexed
- Positive test
- Note, this test is challenging in the acutely injured knee
- Encouraged to use other diagnostic tests in this setting.
- Meta-analysis of studies looking at value of special tests
- Sensitivity: 24% (95% CI, 21–27)
- Specificity: 98% (95% CI, 96–99)
- ↑ Ohashi, Bruno, et al. "Partial anterior cruciate ligament ruptures: knee laxity measurements and pivot shift." Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation; Springer: Berlin/Heidelberg, Germany (2015): 1245-1258.
- ↑ Benjaminse, Anne, Alli Gokeler, and Cees P. van der Schans. "Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis." Journal of orthopaedic & sports physical therapy 36.5 (2006): 267-288.
John Kiel on 19 November 2020 08:04:45
27 April 2023 08:49:50