The reverse pivot shift test assesses posterolateral rotation of the knee, and indirectly the integrity of the structures of the posterolateral corner, including the posterior cruciate ligament.


How to perform a reverse pivot shift test

The patient lies on their back with the knee bent. The examiner takes hold of the lower leg in one hand and flexes the hip to 90 degrees, maintaining the knee also at 90. With the other hand the examiner applies some valgus stress to the knee together with some external rotation. Slowly the knee is extended, observing any sudden pivot of the tibia on the femur.


The torn posterior cruciate ligament (PCL)

Article about how the doctor makes an assessment of a PCL injury.

An 'interpretation' of a 2006 medical article outlining the important anatomy of the important posterolateral corner of the knee, and the surgical procedures that are relevant there.



Posterior Cruciate Ligament and Posterolateral Corner Deficiency Results in a Reverse Pivot Shift. Petrigliano FA, Lane CG, Suero EM, Allen AA and Pearle AD. Clin Orthop Relat Res. 2012 Mar; 470(3): 815–823.

See also -


Courtesy of Dr Nabil Ebraheim