A modified Pivot–Shift test for diagnosis confirmation in anterior cruciate ligament rupture

Laboratory Evaluation of the Pivot-Shift Phenomenon with Use of Kinetic Analysis

“…However, the number and grade of altered kinetic parameters was significantly higher in the test performed with external tibial rotation. Our kinetic findings are in accordance with the clinical findings 9,10 . Finally, although the kinetic analysis is a very sensitive test (84.6%), it is completely nonspecific and the results are similar to those observed in patients with lateral patellar instability (unpublished data).…”

“…The first task reproduces the pathomechanics of an ACL injury and the classic Losee test 7 . The second task reproduces also the pathomechanics of ACL injury and the Clancy and Petermann tests 8,10 . Subjects perform these provoking activities on dynamometric platforms with both the injured and healthy limbs.…”

Quantitative pivot shift assessment using combined inertial and magnetic sensing

“…Moreover, the pivot shift test is widely used to evaluate the lingering postoperative dynamic instability of the knee. Despite its popularity, execution of the pivot shift test remains highly variable and its interpretation, highly subjective [4, 5, 16, 29]. Several studies have demonstrated that different clinicians attribute different pivot shift grades to a same knee, highlighting the need for and objective measure of the pivot shift phenomenon [20, 27].…”