Pivot Shift Test

Aka: Pivot Shift Test, MacIntosh Test

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II. Indications

  1. Assessment for Anterior Cruciate Ligament Rupture

III. See Also

  1. Knee Exam
  2. Knee Anterior Drawer Test
  3. Lachman Test
  4. Lever Test

IV. Technique

  1. Patient lies in lateral decubitus position
    1. Affected knee extended
    2. Affected Tibia internally rotated
  2. Examiner
    1. Apply valgus stress to knee (push from lateral side)
    2. Flex knee
  3. Images
    1. orthoKneePivotShiftKneeBent.jpg

V. Interpretation: Positive Test for ACL Rupture

  1. Clunk felt at 30 degrees knee flexion

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