Quantitative Measurement of the Pivot Shift, Reliability, and Clinical Applications

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2012 Jan 3

PMID 22210517

Citations 19

Authors

Ryosuke Kuroda

Yuichi Hoshino

Daisuke Araki

Yuichiro Nishizawa

Kouki Nagamune

Tomoyuki Matsumoto

Seiji Kubo

Takehiko Matsushita

Masahiro Kurosaka

Affiliations

Soon will be listed here.

Abstract

Static load-displacement measurement is unrelated to the dynamic knee function of anterior cruciate ligament (ACL) insufficiency. Performing an accurate, dynamic functional evaluation is necessary not only for the primary ACL injury, but also as an outcome measurement in ACL reconstruction. The pivot shift test is commonly used for assessing dynamic rotatory knee laxity in ACL-insufficient knees and is related to subjective knee function. Residual pivot shift after ACL reconstruction is a crucial factor related to poor clinical outcome. However, the pivot shift test is subjectively determined by the examiners' hands. Not only 3-dimensional (3D) position displacement but also its 3D acceleration should be measured for quantitative evaluation of the pivot shift test and is currently feasible by using recent advanced technology, i.e., electromagnetic devices. We summarize the basic knowledge and current concepts of quantitative exploration of the dynamic knee movement during the pivot shift test.

Citing Articles

Steep medial posterior tibial slope angle and ramp lesion are independent risk factors for an increase in quantitatively measured pivot shift in patients with ACL-deficient knees.

Yoshida R, Koga H, Nakamura T, Nakagawa Y, Katakura M, Amemiya M J Exp Orthop. 2024; 11(3):e70011.

PMID: 39206131 PMC: 11351175. DOI: 10.1002/jeo2.70011.

Mobile App for Enhanced Anterior Cruciate Ligament (ACL) Assessment in Conscious Subjects: "Pivot-Shift Meter".

Berumen-Nafarrate E, Ramos-Moctezuma I, Sigala-Gonzalez L, Quintana-Trejo F, Tonche-Ramos J, Portillo-Ortiz N J Pers Med. 2024; 14(6).

PMID: 38929873 PMC: 11204776. DOI: 10.3390/jpm14060651.

Anterolateral ligament reconstruction in addition to primary double-bundle anterior cruciate ligament reconstruction for grade 3 pivot shift improves residual knee instability during surgery.

Kawanishi Y, Kobayashi M, Yasuma S, Fukushima H, Kato J, Murase A J Exp Orthop. 2021; 8(1):51.

PMID: 34278532 PMC: 8286908. DOI: 10.1186/s40634-021-00369-4.

Preoperative Knee Instability Affects Residual Instability as Evaluated by Quantitative Pivot-Shift Measurements During Double-Bundle ACL Reconstruction.

Kawanishi Y, Nozaki M, Kobayashi M, Yasuma S, Fukushima H, Murase A Orthop J Sports Med. 2020; 8(10):2325967120959020.

PMID: 33178876 PMC: 7592323. DOI: 10.1177/2325967120959020.

Influence of knee position and examiner-induced motion on the kinematics of the pivot shift.

Naendrup J, Zlotnicki J, Murphy C, Patel N, Debski R, Musahl V J Exp Orthop. 2019; 6(1):11.

PMID: 30888526 PMC: 6424983. DOI: 10.1186/s40634-019-0183-7.

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