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Lateral Pivot Shift Test

Learn more about the Lateral Pivot Shift Test, a vital tool for diagnosing ACL injuries. Understand how it's conducted, its benefits, and treatment options.

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By Russell Tan on Aug 2, 2025.

Fact Checked by Ericka Pingol.

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Commonly asked questions

The pivot shift test is a physical examination used to assess the integrity of the anterior cruciate ligament (ACL) in the knee. It involves flexing and externally rotating the knee while applying a valgus force, or pressure from the outside of the knee.

A positive result typically indicates instability in the knee, suggesting a potential injury to the anterior cruciate ligament (ACL) . However, a negative result does not exclude the possibility of anterior cruciate ligament insufficiency.

The test can be uncomfortable, especially if there is an existing knee injury, but it should not cause significant pain when performed correctly by a healthcare professional.

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