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The Lachman test is a clinical test used to diagnose injury of the anterior cruciate ligament (ACL). It is recognized as reliable, sensitive, and usually superior to the anterior drawer test.
An anterior cruciate ligament injury occurs when the anterior cruciate ligament (ACL) is either stretched, partially torn, or completely torn. [1] The most common injury is a complete tear. [1] Symptoms include pain, an audible cracking sound during injury, instability of the knee, and joint swelling. [1] Swelling generally appears within a couple of hours. [2] In approximately 50% of cases ...
The pivot-shift test[1] is one of the three major tests for assessing anterior cruciate injury or laxity, the other two being the anterior drawer and Lachman test. However, unlike the other two, it tests for instability, an important determinant as to how the knee will function. [1] In fact, it is instability, not simply the injury to the anterior cruciate ligament itself, that places the ...
Anterior cruciate ligament surgery is a complex operation that requires expertise in the field of orthopedic and sports medicine. Many factors should be considered when discussing surgery, including the athlete's level of competition, age, previous knee injury, other injuries sustained, leg alignment, and graft choice.
Women are three to six times more likely to suffer ACL injuries than men, research shows. Experts discuss possible theories and highlight gender inequality in sports.
The unhappy triad, also known as a blown knee among other names, is an injury to the anterior cruciate ligament, medial collateral ligament, and meniscus. Analysis during the 1990s indicated that this 'classic' O'Donoghue triad is actually an unusual clinical entity among athletes with knee injuries. Some authors mistakenly believe that in this ...
The tibia is then drawn forward anteriorly. An increased amount of anterior tibial translation compared with the opposite limb or lack of a firm end-point may indicate either a sprain of the anteromedial bundle or complete tear of the ACL. [2] If the tibia pulls forward or backward more than normal, the test is considered positive.
Before performing a physical examination of the knee joint, a comprehensive history should be asked. A thorough history can be helpful in locating the possible pathological site during the physical examination. The mechanism of injury, location, character of the knee pain, the presence of a "pop" sound at the time of the injury (indicates ligamentous tear or fracture), swelling, infections ...
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