Pivot Shift Test for ACL

Description

The video demonstrates a clinical procedure known as the pivot shift test, which is used to assess the functional competence of the anterior cruciate ligament (ACL). The presenter explains the nature of the test, noting that it is typically performed under anesthesia but can also be conducted on awake patients with the right technique.



Beginning with the patient's leg in an extended position, the examiner rotates the leg internally while applying a valgus stress, creating a state of subluxation in the tibia. When the knee is flexed beyond 30 degrees, the condition is corrected, indicating a positive test result if the ACL is incompetent.



The presenter emphasizes the importance of patient comfort and trust during the test, suggesting that clear communication can help in relaxing the patient's hamstrings. The video concludes with encouragement for viewers to engage with the content by subscribing and sharing.

Specialties