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Wheeless' Textbook of Orthopaedics
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Injury to the anterior cruciate ligament producing the pivot-shift sign


Fetto-JF; Marshall-JL J-Bone-Joint-Surg-Am. 1979 Jul; 61(5): 710-4 The clinical entity termed the pivot shift was studied in cadaver specimens and its significance was evaluated. It was found to be highly correlated with a tear of the anterior cruciate ligament, and it corresponded to a sudden anterior-internal rotation subluxation-dislocation of the tibia and posterior horn of the lateral meniscus beneath the lateral femoral condyle.



Original Text by Clifford R. Wheeless, III, MD.