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Pivot Shift Test

Aka: Pivot Shift Test, MacIntosh Test

Indications
1. Assessment for Anterior Cruciate Ligament Rupture
See Also
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
Interpretation: Positive Test for ACL rupture
1. Clunk felt at 30 degrees knee flexion

Pivot shift test response (C0231759)
Concepts	Diagnostic Procedure (T060)
SnomedCT	20910001
English	Pivot shift test, Pivot shift test response (observable entity), Pivot shift test response
Spanish	prueba de desplazamiento del eje (entidad observable), prueba de desplazamiento del eje
Sources	Derived from the NIH UMLS (Unified Medical Language System)

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 2/1/2012 and last published on 5/14/2013.

This is one of 5887 pages in the Family Practice Notebook