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. Chiropractic Online CE ™ and Educom Continuing Education™

Select Exam Videos by Region

Select Exam Videos by Title Below

Acromioclavicular Crossover Test
Acromioclavicular Shear Test
Adductor Squeeze Test
Allis Test
Adson’s Test
Anterior Drawer Test
Ankle Clonus
Anterior Shoulder Instability Tests
Apley’s Compression Test
Apley’s Distraction Test
Apley’s Scratch Tests
Axial Cervical Compression Test
Babinski Response
Biceps Load Test II
Brudzinski’s Sign
Cerebellar Function Test
Cervical Distraction Test
Clarke’s Sign
Compression Rotation (Crank) Test
Cranial Nerve Examination
Dial Test
DeKleyn’s Test
Drop Arm Test
Eccentric Step Test
Empty Can Test
Ege’s Test
External Rotation Recurvatum Test
FABER Test (Patrick’s Test)
Femoral Nerve Traction Test
Finger Escape Sign 
Gaenslen’s Test
Gagey Hyperabduction Test
Gillet’s Test
Godfrey’s Test
Hautant’s Test
Hawkins-Kennedy Test
Helfet’s Test
Hoffmann’s Reflex
Hughston’s Posteromedial and Posterolateral Drawer Tests
Kernig’s Sign
Lachman’s Test
Lateral Pivot Shift Test
Load and Shift Test
Lhermitte’s Sign
Ludington’s Test
Lumbar Quadrant Test
Maximum Cervical Compression Test
McConnell’s Test
McMurray’s Test
Modified Schober Test
Neer Impingement Test
Neurological Screening Examination of C5 to T1 Nerve Roots
Neurological Screening Examination of L2 to S1 Nerve Roots
Noble’s Compression Test
Ober’s Test
O’Brien Test
Painful Arc Test
Patellar Apprehension Test
Patellar Ballottement Test and Bulge Sign
Patellar Tilt Test
Piriformis Test
Posterior Drawer Test
Posterior Sag Sign
Rinne Test
Romberg and Sharpened Romberg Tests
Roos Test
Sacral Thrust Test
Sacroiliac Compression Test
Sacroiliac Distraction Test
Scapular Assistance Test
Scapulohumeral Rhythm
Screening Examination of Cranial Nerves
Shoulder Abduction Test (Bakody’s Test)
Shoulder Depression Test
Slocum’s Test
Slump Test
Speed’s Test
Straight Leg Raise Test
Sulcus Sign
Thessaly Test (Merke’s Test)
Thigh Thrust Test
Tragus to Wall Test
Trendelenburg’s Test
Upper Limb Tension Test
Valgus Stress Test
Varus Stress Test
Valsalva Test
Waldron’s Test
Weber Test
Well Leg Raise Test
Yergason’s Test
Yeoman’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

A Chiropractic Online CE™ Production. Copyright © Educom Pty Ltd.

Please read the Disclaimer and Copyright statements at the bottom of this web page.

Disclaimer:  The Chiropractic Online CE ™ website (including the text, graphics and videos that appear on the chiropracticonlinece.com) are designed to offer users general health information for educational purposes only. The general health information furnished on this site is not intended to replace personal consultation with a qualified healthcare professional. You must always seek the advice of a healthcare professional 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.