Exam

Pivot Shift Test

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Pivot Shift Test, MacIntosh Test

  • Indications
  1. Assessment for Anterior Cruciate Ligament Rupture
  • See Also
  1. Knee Exam
  2. Knee Anterior Drawer Test
  3. Lachman Test
  4. Lever Test
  • 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
  1. Clunk felt at 30 degrees knee flexion