![Dejour Test](https://physiotutors.com/wp-content/uploads/2022/11/dejour_2-640x360.jpg)
![Dejour Test](https://physiotutors.com/wp-content/uploads/2022/11/dejour_2-640x360.jpg)
At first sight, the Dejour test looks like a combination of the Lachman test and the pivot shift test. You will see the similarities in a moment. Dejour’s test unfortunately has not undergone diagnostic accuracy assessment so the clinical value remains questionable.
To conduct the test the patient lies in supine position. Stand on the side to be examined and pick up the patient’s leg. Support the leg between your arm and abdomen loosely allowing for tibial rotation. Using your forearm exerts valgus pressure on the knee and use the other hand to push the femur posteriorly which accentuates the anterior drawer of the tibia.
The anterior drawer becomes apparent at 20-30° of knee flexion. With further flexion, the pivot shift will occur indicated by the sudden reduction to the anterior subluxation of the tibial plateau indicating a positive test.
Dejour argues that if the pivot shift is violent and painful the posteromedial corner (PMC) is intact whereas a sluggish pivot shift indicates insufficiency of the PMC.
Other common tests to assess for an ACL tear are:
Liorzou, G. (2013). Le genou ligamentaire: examen clinique. Springer Science & Business Media.
To provide the best experiences, we and our partners use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us and our partners to process personal data such as browsing behavior or unique IDs on this site and show (non-) personalized ads. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Click below to consent to the above or make granular choices. Your choices will be applied to this site only. You can change your settings at any time, including withdrawing your consent, by using the toggles on the Cookie Policy, or by clicking on the manage consent button at the bottom of the screen.
Download our free physiotherapy app with all the knowledge you need.