SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2013
Quantifying the pivot shift test: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed.
- Global rotation has high sensitivity in ACL lesions within stress MRI.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- Analysis of the influence of anaesthesia on the clinical and quantitative assessment of the pivot shift: a multicenter international study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Trial
- Large magnetic resonance imaging-based medial posterior tibial slope is associated with time-dependent worsening of rotational knee laxity after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Complete ACL injuries are associated with higher static tibial subluxation than partial ACL injuries or intact ACLs measured on MRI.Journal of experimental orthopaedics · 2025Article
- Creation and validation of a treatment algorithm for skeletally immature patients with acute anterior cruciate ligament injury based on MRI and patient characteristics.Journal of experimental orthopaedics · 2025Article
- Interobserver reliability of the pivot shift test: A modified classification improves agreement.Journal of experimental orthopaedics · 2025Article
- Steep medial posterior tibial slope angle and ramp lesion are independent risk factors for an increase in quantitatively measured pivot shift in patients with ACL-deficient knees.Journal of experimental orthopaedics · 2024Article
- Mobile App for Enhanced Anterior Cruciate Ligament (ACL) Assessment in Conscious Subjects: "Pivot-Shift Meter".Journal of personalized medicine · 2024Article
- Association of Concomitant MRI-Determined Anterolateral Complex Injury With Quantitative Measurements of Altered Rotational Tibiofemoral Position on MRI in Patients With ACL Injury.Orthopaedic journal of sports medicine · 2024Article
- The Albright-Losee Low Profile Pivot Shift Test for ACL Deficiency.The Iowa orthopaedic journal · 2024Article
- Frequency of anterolateral ligament tears and ramp lesions in patients with anterior cruciate ligament tears and associated injuries indicative for these lesions-a retrospective MRI analysis.European radiology · 2023Article
- Minimizing the risk of graft failure after anterior cruciate ligament reconstruction in athletes. A narrative review of the current evidence.Journal of experimental orthopaedics · 2022Review
- Quantitative assessment of the pivot shift test with smartphone accelerometer.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Stress radiography at 30° of knee flexion is a reliable evaluation tool for high-grade rotatory laxity in complete ACL-injured knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Education and repetition improve success rate and quantitative measures of the pivot shift test.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Influence of knee position and examiner-induced motion on the kinematics of the pivot shift.Journal of experimental orthopaedics · 2019Article
- Anatomic Anterior Cruciate Ligament Reconstruction Using Hamstring Tendons Restores Quantitative Pivot Shift.Orthopaedic journal of sports medicine · 2018Article
- The diagnostic reliability of the quantitative pivot-shift evaluation using an electromagnetic measurement system for anterior cruciate ligament deficiency was superior to those of the accelerometer and iPad image analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Evaluation of pivot shift phenomenon while awake and under anaesthesia by different manoeuvres using triaxial accelerometer.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- The combination of tibial anterior translation and axial rotation into a single biomechanical factor improves the prediction of patient satisfaction over each factor alone in patients with ACL reconstructed knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aims to identify and summarize the evidence on the biomechanical parameters and the corresponding technologies which have been used to quantify the pivot shift test during the clinical and functional assessment of anterior cruciate ligament (ACL) injury and surgical reconstruction.
methodsSearch strategy Internet search of indexed scientific articles on the PubMed database, Web of Science and references on published manuscripts. No year restriction was used. Selection criteria Articles included were written only in English and related to search terms: "pivot shift" AND (OR "ACL"). The reviewers independently selected only those studies that included at least one quantitative parameter for the analysis of the pivot shift test, including both in vitro and in vivo analyses performed on human joint. Those studies that analysed only clinical grading were excluded from the analysis. Analysis After evaluating the methodological quality of the articles, the parameters found were summarized.
resultsSix hundred and eight studies met the inclusion criteria, and finally, 68 unique studies were available for the systematic review. Quantitative results were heterogeneous. The pivot shift test has been quantified by means of 25 parameters, but most of the studies focused on anterior-posterior translations, internal-external rotation and acceleration in anterior-posterior direction.
conclusionSeveral methodologies have been identified and developed to quantify pivot shift test. However, clinical professionals are still lacking a 'gold standard' method for the quantification of knee joint dynamic laxity. A widespread adoption of a standardized pivot shift manoeuvre and measurement method to allow objective comparison of the results of ACL reconstructions is therefore desirable. Further development of measurement methods is indeed required to achieve this goal in a routine clinical scenario.
Indexed as
Identifiers
23455384What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.