Current Section
Reverse Pivot Shift Test
Reverse Pivot Shift Test
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Name
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Purpose
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Description
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Sensitivity, Specificity
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Validity, Reliability
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Likelihood Ratio +/-
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Reverse Pivot Shift Test
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To test for ACL tears
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“Hip is flexed at 20 to 30 degrees, knee is started in flexion 45 or 90 degrees and while maintaining a valgus stress at the knee and in some cases an anterior force on the fibula head and the proximal aspect of tibia while extending the knee typically at 30 to 10 degrees of flexion the tibia will sublux anteriorly. Most effective to assess Gr III (total) tears of the ACL”[1]
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Sensitivity
(Chronic)
61%[2]
89.8%[3]
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[1] Magee DJ. Orthopedic Physical Assessment: 5th Edition. St. Louis, MO: Saunders Elsevier;2008.
[2] Anderson AF, Rennirt GW, Standeffer WC: Clinical analysis of the pivot shift tests: description of the pivot drawer test, Am J Knee Surg 13:19-23, 2000.
[3] Kim SJ, Kim HK: Reliability of the anterior drawer test, the pivot shift test, and the Lachman test, Clin Orthop Relat Res 317:237-242, 1995.
