AI Article Synopsis
- The manuscript reviews the history, techniques, and methodology of quantitative pivot shift investigations and evaluates its clinical importance in managing ACL injuries and associated issues like the ALC.
- It highlights that the pivot shift test is crucial for diagnosing rotatory instability from ACL tears, noting that it can be influenced by other injuries or anatomical factors.
- The presence of a pivot shift after surgery leads to worse outcomes, indicating the need for more research on effective management strategies for ALC along with ACL injuries.
Article 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. 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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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388573 | PMC |
| http://dx.doi.org/10.1007/s12178-019-09529-7 | DOI Listing |
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