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Erschienen in: Current Reviews in Musculoskeletal Medicine 1/2019

31.01.2019 | Outcomes Research in Orthopedics (O Ayeni, section editor)

The Pivot Shift: Current Experimental Methodology and Clinical Utility for Anterior Cruciate Ligament Rupture and Associated Injury

verfasst von: Nicholas J. Vaudreuil, Benjamin B. Rothrauff, Darren de SA, Volker Musahl

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 1/2019

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Abstract

Purpose of Review

The purpose of this manuscript is to (1) examine the history, techniques, and methodology behind quantitative pivot shift investigations to date and (2) review the current status of pivot shift research for its clinical utility for management of anterior cruciate ligament (ACL) rupture with associated injuries including the anterolateral complex (ALC).

Recent Findings

The pivot shift is a useful physical exam maneuver for diagnosis of rotatory instability related to ACL tear. Recent evidence suggests that the pivot shift is multifactorial and can be seen in the presence of ACL tear with concomitant injury to secondary stabilizers or with predisposing anatomical factors.

Summary

The presence of a pivot shift post-operatively is associated with poorer outcomes after ACL reconstruction. Recent clinical and biomechanical investigations can help guide clinicians in utilizing pivot shift in diagnosis and surgical planning. Further research is needed to clarify optimal management of ALC in addition to ACL injury.
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Metadaten
Titel
The Pivot Shift: Current Experimental Methodology and Clinical Utility for Anterior Cruciate Ligament Rupture and Associated Injury
verfasst von
Nicholas J. Vaudreuil
Benjamin B. Rothrauff
Darren de SA
Volker Musahl
Publikationsdatum
31.01.2019
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 1/2019
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-019-09529-7

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