Which test is the reversed direction variant used to assess ACL injury involving the posterior lateral capsule and IT band?

• A. Pivot Shift Test
• B. IT Band Friction Test
• C. McMurray's Test
• D. Reversed Pivot Shift Test

Answer: (D)

The idea behind this item is that a special variant of a known dynamic rotation test is used when the injury involves the ACL together with the posterolateral structures, including the IT band. The reversed pivot shift is performed in the opposite loading direction to stress the posterolateral corner and the IT band, exposing instability that arises from combined ACL deficiency with involvement of the posterior lateral capsule. This makes it the best choice when you’re specifically assessing an ACL injury that also implicates these posterolateral structures. Other tests target different issues—for example, a standard pivot shift mainly screens classic ACL deficiency without emphasizing PLC/IT band contributions, the IT band friction test looks at IT band syndrome, and McMurray’s test screens meniscal tears.