Pivot Shift Test | Rationale & Interpretation

The video tutorial explains the pivot shift test, a special test used to assess ACL injuries. It describes the test's purpose, which is to reproduce the sensation of knee instability often reported by patients with untreated ACL injuries. The test is performed in three stages, involving internal rotation, valgus force, and axial load. The video details how to interpret positive and negative test results, focusing on tibial subluxation and relocation during knee flexion. A real-time demonstration of the test is also provided.

What is the purpose of the pivot shift test?

Describe the initial position of the patient during the pivot shift test.

What forces are applied during the first phase of the pivot shift test?

What feelings might a patient experience during the pivot shift test if they have an ACL injury?

At what degree of knee flexion does the tibia typically relocate during the pivot shift test?

How does the presence of an intact ACL affect the results of the pivot shift test?

What indicates a positive pivot shift test result?