Examination And Examination Of The Anterior Cruciate Ligament

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Health History: A 25-year-old male injured his left knee in a recent skiing accident. The patient stated that he lost his balance because the inner edge of his right ski got caught while skiing. This resulted in the right leg being externally rotated followed by and audible “pop” as he lost footing. By evening, the right knee joint had become swollen, causing intense pain. The primary care physician referred the case to an orthopedist.

Presentation and Examination: The knee anterior drawer test is a commonly used during orthopedic examinations to evaluate the integrity of the anterior cruciate ligament (ACL). The test is conducted with the patient supine; hips and knees are flexed at a 45 and 90-degree angles with feet flat on the table. While holding the calf distal to the knee joint pulling suddenly away from the patient tests the anterior drawer while pushing back tests the posterior drawer. In this case, the positive anterior drawer test indicated ACL damage.

Diagnosis: Results from the orthopedic exam indicated two torn ligaments. The medial collateral ligament (MCL), which originates at the medial femoral epicondyle and inserts at the periosteum of proximal tibia, deep to the pes anserine and the ACL which originates on the Lateral wall of the intercondylar notch at its posterior aspect and inserts at the anterior aspect of the tibial plateau between the tibial eminences. As well, a medial meniscal injury was considered likely.
At the Tibiofemoral

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