{"id":4575,"date":"2025-03-16T13:16:58","date_gmt":"2025-03-16T13:16:58","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=4575"},"modified":"2025-03-16T13:16:58","modified_gmt":"2025-03-16T13:16:58","slug":"pivot-shift-test-to-detect-anterolateral-rotary-instability","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=4575","title":{"rendered":"pivot shift test to detect anterolateral rotary instability"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"958\" height=\"316\" src=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9116-1.jpg\" class=\"wp-image-4573\" srcset=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9116-1.jpg 958w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9116-1-300x99.jpg 300w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9116-1-768x253.jpg 768w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9116-1-600x198.jpg 600w\" sizes=\"(max-width: 958px) 100vw, 958px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The pivot shift is a test to detect anterolateral rotary instability. In my experience, I&#8217;m a bit concerned when I see a pivot shift grade 2 or above. If no self reported instability are reported, I would often be okay with laxity in anterior translation, but a positive pivot shift would make me concerned. Let me know what you think?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One study found that the pivot-shift test can revealed that in ACL injured knees, knees with lateral meniscus tear showed greater rotatory laxity compared with knees without meniscus tear.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In addition, lateral meniscus repair, and to<br \/>a lesser degree medial meniscus repair, reduced rotatory laxity during ACL reconstruction surgery. Therefore, the meniscus should be repaired as much as possible because of its role as a secondary stabilizer of rotatory laxity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Stay updated with some clinical reflections:<br>Check out <a href=\"https:\/\/andreasphysioblog.com\">https:\/\/andreasphysioblog.com<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"560\" src=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9115-1-1024x560.jpg\" class=\"wp-image-4572\" srcset=\"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9115-1-1024x560.jpg 1024w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9115-1-300x164.jpg 300w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9115-1-768x420.jpg 768w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9115-1-600x328.jpg 600w, https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9115-1.jpg 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>The pivot shift is a test to detect anterolateral rotary instability. In my experience, I&#8217;m a bit concerned when I see a pivot shift grade 2 or above. If no self reported instability are reported, I would often be okay with laxity in anterior translation, but a positive pivot shift would make me concerned. Let [&hellip;]<\/p>\n","protected":false},"author":81,"featured_media":4574,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_crdt_document":"","om_disable_all_campaigns":false,"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[155,382,4,394],"tags":[156,37,330],"class_list":["post-4575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acl","category-knee","category-knee-injuries","category-meniscus","tag-acl","tag-knee","tag-meniscus"],"blocksy_meta":[],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/andreasphysioblog.com\/wp-content\/uploads\/2025\/03\/img_9115-2-1.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/4575","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/users\/81"}],"replies":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4575"}],"version-history":[{"count":0,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/4575\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/media\/4574"}],"wp:attachment":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}