Pivot shift test is positive with
Ans. a (Anterior cruciate ligament tear) (Ref. Adam's orthopedics 11th/pg, 315-325)Knee Joint Injuries1Normal range of motion# Flexion: 135 degrees# Extension: 0 to 10 degrees above horizontal plane2Patellar apprehension test# Evaluates for patella subluxation3Anterior cruciate ligament (ACL) stability tests# Lachman test (most sensitive) - done with the knee flexed at 20deg.# Anterior drawer test- done with the knee flexed at 20deg.# Pivot shift test (Macintosh Test)4Posterior Cruciate Ligament (PCL) Tests# Knee posterior drawer test# PCL sulcus test# PCL sag test5Collateral ligament evaluation# Knee valgus stress test (Medial collateral ligament)# Knee varus stress test (Lateral collateral ligament)6Meniscus evaluation# McMurray's test# Apley's compression test and apley's distraction test# Bounce Test7Pivot test# Patient lies in lateral decubitus position,# Affected knee extended, affected tibia internally rotated, and examiner applies valgus stress to knee (push from lateral side) and tries to flex knee,# If clunk felt at 30 degrees knee flexion, the test is said positive test for ACL rupture.
Anterior cruciate ligament tear
Posterior cruciate ligament tear
Medial meniscus injury
Lateral meniscus injury
Injuries Around the Thigh & Knee