Pivot Shift Test

Test Procedure: With the knee in 10 to 20 degrees of flexion, the tibia is internally rotated while the examiner applies a valgus force

What constitutes a positive test: Lateral tibial plateau subluxes anteriorly

Reliability:

Validity: (Katz AJSM 14:88 1986; Kim and Kim Clin Orthop 317:237 1995; Liu JBJS Br 77:586 1995; Rubinstein AJSM 22:550 1994; Boeree Injury 22:291 1991)
Sens Spec +LR -LR
Katz et al .82 .98 41 .18
Kim and Kim .90 NR NA NA
Liu et al .71 NR NA NA
Rubinstein .93 .89 8.45 .08
Boeree and Ackroyd .30 .97 10 72