Orthopedics Book

Approach

Ankle Disorders

Cervicobrachial Disorders

Elbow Disorders

Foot Disorders

Hand Disorders

Hip Disorders

Infectious Disease

Knee Disorders

Lumbar Spine Disorders

Wrist Disorders

Pelvis

Shoulder Disorders

Thoracic Spine Disorders

Cervical Spine Disorders

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Pivot Shift Test

Aka: Pivot Shift Test, MacIntosh Test
  1. Indications
    1. Assessment for Anterior Cruciate Ligament Rupture
  2. See Also
    1. Knee Exam
    2. Knee Anterior Drawer Test
    3. Lachman Test
  3. 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
  4. Interpretation: Positive Test for ACL Rupture
    1. Clunk felt at 30 degrees knee flexion

Pivot shift test response (C0231759)

Concepts Finding (T033)
SnomedCT 20910001
English Pivot shift test, Pivot shift test response, Pivot shift test response (observable entity)
Spanish prueba de desplazamiento del eje (entidad observable), prueba de desplazamiento del eje
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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