Template:ACL clinical features: Difference between revisions
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===ACL=== | ===ACL=== | ||
*Hearing/feeling a "pop" during injury is pathognomonic | *Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic | ||
*Anterior Drawer Sign | *Anterior Drawer Sign | ||
**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction | **Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction | ||
**Displacement of >6mm compared w/ opposite knee indicates injury | **Displacement of >6mm compared w/ opposite knee indicates injury | ||
*Lachman Test | *Lachman Test (most sensitive) | ||
**Pt supine, knee flexed 30', femur held w/ one hand, prox tibia pulled up w/ other hand | **Pt supine, knee flexed 30', femur held w/ one hand, prox tibia pulled up w/ other hand | ||
**Displacement >5mm or soft end-point indicates injury | **Displacement >5mm or soft end-point indicates injury | ||
*Pivot Shift Test | |||
*[[Segond Fracture]] | *[[Segond Fracture]] | ||
**Pathognomonic for ACL tear | **Pathognomonic for ACL tear but rare | ||
Revision as of 01:52, 14 April 2017
ACL
- Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic
- Anterior Drawer Sign
- Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction
- Displacement of >6mm compared w/ opposite knee indicates injury
- Lachman Test (most sensitive)
- Pt supine, knee flexed 30', femur held w/ one hand, prox tibia pulled up w/ other hand
- Displacement >5mm or soft end-point indicates injury
- Pivot Shift Test
- Segond Fracture
- Pathognomonic for ACL tear but rare