LATERAL PIVOT-SHIFT / APPREHENSION TEST FOR POSTEROLATERAL ROTATORY INSTABILITY (PLRI) Symptoms of PLRI are often painful clicking, cracking and locking of the elbow with light decrease of extension in more than 50% of subjects and pain with lifting in the supinated position. The Pivot-Shift Test has been validated by O'Driscoll et al. (2000) who found a sensitivity of 100% in anesthesized subjects and 37,5% in awake patients with unkown specificity values. (Regan et al. 2006) Apprehension by th

Lateral Pivot Shift Test for ACL Tears The Lateral Pivot-Shift test is the most specific of all ACL tests with a specificity of 98% with a weak sensitivity of 24%. The test needs some practice to perform and makes use of the iliotibial band which shifts its function from a knee extensor to a knee flexor. Watch the video to learn how the test is performed and to learn about the biomechanical explanation for the test! | Physiotutors