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THThe pivot shift test is important clinically as it helps determine the integrity of the ACL and overall stability of the knee joint.
Here’s why we love the Pivot Shift:
Dynamic Test: The pivot shift is a “moving” test” taking the knee into positions where ACL injuries often occur, similar to the pivoting and cutting motions in soccer, basketball and skiing. Unlike static tests, this one really shows you what is happening in the knee joint with movement.
Tibial Subluxation: It specifically checks if there’s an abnormal amount of forward movement of the tibia relative to the femur - tibial subluxation. This along with the the feeling of “giving way” during the test provide good insights into whether the ACL is partially or completely torn.
Better Treatment Decisions: While MRIs are valuable for confirming ACL injuries, they don’t always tell us if the knee is stable. A good pivot shift along with other functional tests helps guide whether conservative management or surgery is likely to be needed to restore knee stability and get the athlete back to their desired level of activity.
If you are interested in learning or dialing in your pivot shift, you can access the link in our bio and secure your early bird price on our 1 day ACL Assessment and Management course on September 30th.
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