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Which maneuver is more sensible to evaluate the ACL ligament

The Lachman test is a specific clinical exam technique used to evaluate patients with a suspected anterior cruciate ligament (ACL) injury. The test relies on proper positioning and technique and is regarded as the most sensitive and specific test for diagnosing acute ACL injuries.

What is ACL swelling pattern

An ACL tear will present with a pattern of swelling, known as a haemarthrosis (bleeding within the joint). A haemarthrosis presents as a collection of fluid particularly prominent above the patella (kneecap) and medial knee u2013 see the image below.

Which finding is the most sensitive for diagnosing ACL tears

Generally, it is accepted that the pivot shift test is the most specific test to diagnose anterior cruciate ligament (ACL) tears and that the Lachman test is more sensitive than AD sign.

What maneuver do you use to check ACL

Lachman Test: this is the most sensitive physical exam maneuver for detecting a torn ACL. It is performed by stabilizing the femur while the tibia is pulled forward (see Figure 1). A positive test is signified by excessive forward translation without a firm endpoint, indicating disruption to the ACL.

What is the most common ACL repair method

The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction. Yet, most orthopedic surgeons prefer hamstring grafts for younger athletes and cadaver grafts for older patients.

What is the clinical pattern of a torn ACL

Clinical presentation The following signs and symptoms are common: popping sensation at the time of injury, followed by swelling. initial inability to weight bear, which improves in a short period. knee felt to give way, especially during pivoting movement.

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