A comprehensive clinical examination of the potentially anterior cruciate ligament (ACL)-deficient knee should proceed as follows: inspection; palpation; range of motion; varus and valgus stress; neurovascular status; and finally provocative maneuvers. The Lachman, anterior drawer, Lever, and pivot shift tests are all greater than 90% specific for ACL pathology. Due to the relatively high coincidence of ACL injuries and those to the posterior cruciate ligament, posterolateral corner , posteromedial corner , and menisci, it is critical that the examiner perform provocative maneuvers to evaluate the integrity of these structures as well. Copyright © 2023 Elsevier Inc. All rights reserved.
David E Kantrowitz, Alexis Colvin. Comprehensive Clinical Examination of ACL Injuries. Clinics in sports medicine. 2024 Jul;43(3):311-330
PMID: 38811112
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