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Journal of Bone and Joint Surgery - British Volume, Vol 69-B, Issue 2, 294-299
Copyright © 1987 by British Editorial Society of Bone and Joint Surgery


Articles

Grading the pivot shift. Objective tests with implications for treatment

RP Jakob, HU Staubli, and JT Deland

A logical, objective and reproducible grading system for the pivot shift test is proposed. The rationale is based on performing the examination in varying positions of rotation of the tibia, allowing the type and degree of the different laxities to be defined and quantified. The system has been assessed against a new "unblocked" test for anterior subluxation and against radiographic measurements, operative findings and results. This grading system can be valuable in pre-operative assessment and planning and its use in postoperative evaluation would enable results from different centres and different procedures to be compared more accurately.


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General