Originally described by Slocum (1976), this modification of the lateral pivot shift test as a way to test for ACL integrity in heavier patients. However, while the biomechanical reasoning is similar to the lateral pivot shift test, this modification has not been included in diagnostic accuracy studies so the clinical value remains questionable.
To conduct the test, the patient is in sidelying position on the unaffected side. The unaffected leg is slightly flexed at the hip and knee for stability. The pelvis is rotated approximately 30 degrees posteriorly.
In this position, the ankle of the affected leg is resting on the table. The involved knee is flexed to 10°. In case of a torn ACL, the tibia will internally rotate and subluxate anteriorly due to the pull of gravity.
Then place one hand above and one hand below the knee and apply a valgus force to the knee while the knee is brought into flexion. In a positive test, the tibia will suddenly reduce at around 40 degrees of knee flexion.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Other common tests to assess for rotatory instability of the knee are:
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.