The Lateral Pivot-Shift Test for Anterior Cruciate Ligament Rupture


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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. With a torn Anterior cruciate ligament, the tibia will subluxate anteriorly on the femur during extension. During the pivot-shift test, you induce the subluxation and subsequently test for spontaneous reduction indicating a positive test.


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  1. Review assessments on the go with our e-book or app and solidify your clinical reasoning in our online course:

  2. Can NOT Understand your enunciation of The English Language. Your Eastern/North Eastern European Broge, Accent is TOO Rich. In Addition, I find, it is not helpful following your methods without your pointing out Layman's terms, coupled with the medical names, definitions and location… (i.e. LATERAL/Outer, MEDIAL/Inner, Anterior/Front, Pasterior/Back…) Do I want to go to Medical School to learn ALL the Terms you are referring to, No. I'd like a reference to "self-test" my knee pain from YOUTUBE, NOT have to enroll into John Hopkin's University, in order to relate to where and what you are referring to. I will search elsewhere.

  3. cheers
    from dr hashim
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  4. Great videos as always from you guys! Quick question on the mechanics. The ACL helps to prevent anterior displacement of the tibia, so I don't understand why the tibia moving posteriorly (reducing or jogging back) during this test indicates an ACL tear. Any clarification would be great. Thanks!

  5. Poor explanation. Just some technical terms thrown in, the typical medical babble you find on any medical page with no expanding on those terms and a once going through the motion. No nuanced approach, no examples of actually how one ruptured looks like or what contribution lateral pressure has. After all it is a LATERAL pivot shift test.

  6. The illustration at the end really helped me to understand what is happening with the patient! Thank you so much!

  7. Good day. When you say the tibia reduces or jerks backwards does it subsequently sublux anteriorly/forwards? Thanks

  8. Great video, can you please repeat the last line:the test can produce a clunk sound and something about walking, sorry I didn't catch the last part. Thankyou

  9. Aspiring PT here! Just found your channel, and I'm learning so much already! Thank you for your videos! 🙂

  10. Thanks for the helping PT Students like me, i just want to ask if you guys are using Orthopedic physical Assessment by: David Magee, because i was using it same time watching you vids and every thin you say is like carbon copy of the book.. thanks 😀


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