Orthopedics Book

Infectious Disease

Thoracic Spine Disorders

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Pivot Shift TestAka: MacIntosh Test

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  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
  4. Interpretation: Positive Test for ACL rupture
    1. Clunk felt at 30 degrees knee flexion

Pivot shift test response (C0231759)

ConceptsDiagnostic Procedure (T060)
EnglishPivot shift test, Pivot shift test response
Spanishprueba de desplazamiento del eje
Parent ConceptsFeature of knee region (C1286208)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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