Video – Lateral Pivot Shift Test

Videos to help you sharpen your examination skills.
Educators are welcome to play these videos in class directly from this website.
Copyright © All rights reserved. Examination Videos ™ and Educom Continuing Education™

Select Exam Videos by Region

Select Exam Videos by Title

Acromioclavicular Crossover Test
Acromioclavicular Shear Test
Adson’s Test
Adductor Squeeze Test
Allis Test
Ankle Anterior Drawer Test
Ankle Clonus
Anterior Drawer Test
Anterior Shoulder Instability Tests
Apley’s Compression Test
Apley’s Distraction Test
Apley’s Scratch Tests
Axial Cervical Compression Test
Babinski Response
Beatty Maneuver
Biceps Load Test II
Brudzinski’s Sign
Calcaneal Compression Test
Calcaneal Squeeze Test
Carpal Compression Test
Cerebellar Function Test
Cervical Distraction Test
Clarke’s Sign
Compression Rotation Test (Crank Test)
Cozen’s Test
Cranial Nerve Examination
Crossed-Leg Test
DeKleyn’s Test
Dial Test
Dorsiflexion Eversion Test
Drop Arm Test
Eccentric Step Test
Ege’s Test
Elbow Varus and Valgus Stress Tests
Empty Can Test
Examination of C5 to T1 Nerve Roots
Examination of L2 to S1 Nerve Roots
External Rotation Stress Test
External-Rotation-Recurvatum-Test
FABER Test (Patrick’s Test)
FADIR test
Femoral Nerve Traction Test
Finger Escape Sign
Foot Squeeze Test and Mulder’s Click Sign
Freiberg Test
Gaenslen’s Test
Gagey Hyperabduction Test
Gillet’s Test
Godfrey’s Test
Hautant’s Test
Hawkins-Kennedy Test
Heel Tap Test
Helfet’s Test
Hoffmann’s Reflex
Homan’s Sign
Hughston’s Posteromedial and Posterolateral Drawer Tests
Kernig’s Sign
Lachman’s Test
Lateral Pivot Shift Test
Lhermitte’s Sign
Load and Shift Test
Log Roll Test
Ludington’s Test
Lumbar Quadrant Test
Matles Test
Maudsley’s Test
Maximum Cervical Compression Test
McConnell’s Test
McMurray’s Test
Mill’s Test
Modified Schober Test
Moving Valgus Stress Test
Neer Impingement Test
Noble’s Compression Test
Ober’s Test
O’Brien Test
Pace Maneuver
Painful Arc Test
Passive Adduction with Resisted Abduction
Patellar Apprehension Test
Patellar Ballottement Test and Bulge Sign
Patellar Tilt Test
Phalen’s Test
Piriformis Test
Posterior Drawer Test
Posterior Sag Sign
Pronator Compression Test
Pronator Teres Syndrome Test
Resisted Straight Leg Raise Test
Resisted External Derotation Test
Reverse Cozen’s Test
Reverse Mill’s Test
Rinne Test
Romberg and Sharpened Romberg Tests
Roos Test
Sacral Thrust Test
Sacroiliac Compression Test
Sacroiliac Distraction Test
Scapular Assistance Test
Scapulohumeral Rhythm
Scour Test (Quadrant Test)
Shoulder Abduction-Test (Bakody’s Test)
Shoulder Depression Test
Single Leg Stance Test
Slocum’s Test
Slump Test
Snapping Hip Tests
Speed’s Test
Sulcus Sign
Straight Leg Raise Test
Squeeze Test
Supinator Syndrome Test
Talar Tilt Test
Thigh Thrust Test
Thessaly Test (Merke’s Test)
Thomas Test
Thompson’s Test
Thumb Index Finger Squeeze Test
Tinel’s Sign for Carpal Tunnel Syndrome
Tinel’s Sign – Morton’s Neuroma
Tinel’s Sign for Pronator Teres Syndrome
Tinel’s Sign – Tarsal Tunnel Syndrome
Tragus to Wall Test
Trendelenburg’s Test
Triple Compression Stress Test
Upper Limb Tension Test
Valgus Stress Test
Varus Stress Test
Valsalva Test
Waldron’s Test
Weber Test
Well Leg Raise Test
Windlass Test
Yeoman’s Test
Yergason’s Test
Yocum Test

Lateral Pivot Shift Test

The Lateral Pivot Shift test is used to detect the presence of anterolateral rotary instability of the knee in the presence of a rupture of the anterior cruciate ligament. This test is also called the Pivot Shift test and the McIntosh’s test.

This test is performed in 3 steps:

Step 1: With the patient in the supine position, place one hand on their lower thigh with the thumb positioned behind the fibular head and grip the foot with the other hand.

Lift the lower limb to position the hip to 30 degrees of flexion, 30 degrees of abduction, and some internal rotation.

Step 2: Flex the knee to 5 degrees and internally rotate the tibia by turning the foot and pushing the fibular head forward.

In the presence of an anterior cruciate ligament rupture, as internal rotation is applied to the tibia, the lateral tibial condyle displaces forward.

Step 3: Apply a valgus load to the knee by pulling the foot outward and pushing the lower thigh inward. Now, gradually flex the knee and observe for an abrupt realignment of the tibia with the femur at some point up to 40 degrees of flexion. The sudden relocation occurs as a result of the tension developed in the iliotibial band and is referred to as the ‘pivot shift’.  This relocation confirms the presence of an anterior cruciate ligament rupture.

It should also be noted that anterolateral stability of the knee relies on additional structures including:

• Arcuate-popliteus complex
• Lateral collateral ligament
• Posterolateral capsule

Produced by Educom Continuing Education™. All rights reserved. Copyright © Educom Pty Ltd.

Disclaimer:  The ExaminationVideos™ website (including the text, graphics, and videos that appear on it) is designed to offer users general health information for educational purposes only. The information furnished on this website and its online videos are not intended to replace personal consultation with a qualified healthcare provider. You must always seek the advice of a qualified healthcare provider for questions related to your disease, disease symptoms, and appropriate therapeutic treatments.

Copyright © Educom Pty Ltd: All material on this website (including the text, graphics, videos, and downloadable files) are owned by or licensed to Educom Pty Ltd and is subject to copyright and other intellectual property rights under international conventions.