Lachmans test draglåda pivot shift

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The mean age was 36.5 years. In fact, the authors of this article put together a table of 13 studies using the pivot-shift technique. If it shifts enough to clunk (can be felt and sometimes heard as an audible clunk), the test is positive for instability.

Differences in the specific pivot-shift test techniques occur based on individual theories about what is causing the instability and how to test for it.

8, Issue 1, Part A (2024)

Abstract:Background and Aim: The physical examination of the knee is important in diagnosing the cases of ACL tear. The most commonly used test for this problem is called the Lachman test. With a relaxed ITB, the tibia can rotate. A common knee injury among athletes is an anterior cruciate ligament (ACL) tear.

And if there are other soft tissues damaged, it can cloud up the results.

The authors list a few other disadvantages of the pivot-shift test.

Patients and Methods: This prospective cohort study was conducted at Govt. It is a complex test that is easy to interpret differently by different examiners. Just repairing or reconstructing the torn ACL will not restore stability in the movements that require rotation.

The hip is abducted (leg is moved away from the body). We included 26 patients of symptomatic ACL tear in the age group of 18-50 years. The Lachmans test was a sensitive test (88%) as compared to Pivot Shift (60%) in diagnosing ACL tears.

Results: Total 26 patients were evaluated and analysed including 25 males and 1 female.

The type of pivot-shift test done is listed along with a description of the technique.

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Dr. Shahan Malik, Dr. Aiman Ahmad Wani, Dr. Syed Sheikh Mohd Faizan and Dr. Azad Ahmad Shah. All other soft tissue injuries and imbalances must be identified and corrected.

The examiner must keep in mind that in acute cases (recent injury), swelling may prevent the clunk.

A positive test means that the knee is unstable in forward and backward translation as well as in rotation.

Vol. Sensitivity and specificity were calculated. The knees were physically examined and Lachmans test and Pivot Shift test were performed and findings recorded.