Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The acute pivot shift: clinical correlation.

R S Lucie, J D Wiedel, D G Messner

    The American Journal of Sports Medicine
    |May 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Arthrodesis of the ankle and subtalar joints in patients with haemophilic arthropathy.

    Haemophilia : the official journal of the World Federation of Hemophilia·2010
    Same author

    Elective orthopaedic surgery for inhibitor patients.

    Haemophilia : the official journal of the World Federation of Hemophilia·2003
    Same author

    Arthroscopic synovectomy: state of the art.

    Haemophilia : the official journal of the World Federation of Hemophilia·2002
    Same author

    Total knee replacement in haemophilia.

    Haemophilia : the official journal of the World Federation of Hemophilia·2002
    Same author

    Total knee arthroplasty in HIV-positive haemophilic patients.

    Haemophilia : the official journal of the World Federation of Hemophilia·2002
    Same author

    Infected joint replacements in HIV-positive patients with haemophilia.

    The Journal of bone and joint surgery. British volume·2001
    Same journal

    Comparison of Long-term Supraspinatus Tear Progression After Arthroscopic Isolated Subscapularis Repair With and Without Comma Tissue Preservation: A Minimum 10-Year MRI Follow-up Study.

    The American journal of sports medicine·2026
    Same journal

    The Long-term Radiographic Fate of the Chronically ACL-Deficient Knee: Response.

    The American journal of sports medicine·2026
    Same journal

    The Long-term Radiographic Fate of the Chronically ACL-Deficient Knee: Letter to the Editor.

    The American journal of sports medicine·2026
    Same journal

    Metformin Reduces the Incidence of Shoulder Stiffness After Arthroscopic RC Repair: Letter to the Editor.

    The American journal of sports medicine·2026
    Same journal

    Metformin Reduces the Incidence of Shoulder Stiffness After Arthroscopic RC Repair: Response.

    The American journal of sports medicine·2026
    Same journal

    What Is the "Perfect" Lateral Radiograph? Effects of Beam Directionality and Condylar Alignment on the Perceived Location of the Medial Patellofemoral Ligament: Letter to the Editor.

    The American journal of sports medicine·2026
    See all related articles

    The pivot shift test reliably diagnoses acute anterior cruciate ligament tears in knees with traumatic hemarthrosis. Performed under anesthesia, it accurately identifies significant tears, even early in injury.

    Area of Science:

    • Orthopedic Surgery
    • Sports Medicine
    • Knee Biomechanics

    Background:

    • The pivot shift test is established for chronic knee instability.
    • Its utility in acute injuries with hemarthrosis requires further validation.

    Purpose of the Study:

    • To assess the reliability of the pivot shift test in evaluating acute anterior cruciate ligament (ACL) tears.
    • To determine the test's accuracy in the setting of traumatic hemarthrosis.

    Main Methods:

    • Fifty knees with acute traumatic hemarthrosis underwent pivot shift testing under general anesthesia.
    • Patients with prior knee injuries were excluded.
    • Arthrotomy or arthroscopy confirmed findings.

    Main Results:

    Related Experiment Videos

  • A positive pivot shift strongly correlated with significant ACL tears (35 complete, 3 partial).
  • A negative pivot shift ruled out complete ACL tears but could not exclude partial tears.
  • Negative pivot shifts with partial tears indicated retained ligamentous function.

    • Conclusions:

    • The pivot shift test is a direct measure of cruciate ligament competence.
    • The test is acutely reliable for diagnosing significant ACL tears when performed under anesthesia.
    • Arthroscopy may not always be necessary for ACL competence evaluation in acute hemarthrosis.