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Aug 12, 2022
10:16
:57
pm
gwill
All-American
Lots of variables
Can gets false positives or negatives.
This message has been modified
Originally posted on Aug 12, 2022 at 10:16:57pm
Message modified by gwill on Aug 13, 2022 at 9:12:27pm
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gwill
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gwill
Joined
Apr 15, 2005
Last login
May 13, 2024
Total posts
4,977 (3 FO)
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Messages
Author
Time
Not a torn ACL
Loafer
8/12/22 9:29pm
Better update
whoneedscorners?
8/12/22 9:30pm
Radiologists for the 🏆
Littlerich
8/12/22 9:45pm
Wait. How could he post from tomorrow?
TNT
8/12/22 9:46pm
The stability test for ACL is real hit and miss, I'll wait for the MRI
CorndogStickshift
8/12/22 9:51pm
^This. In January my daughter injured her knee skiing. We suspected ACL
Str8CashCougar
8/12/22 10:00pm
A good exam Lachman can be much better than MRI. Should be able to tell if torn or not. MRI can be inconclusive and
Osteotome
8/12/22 10:02pm
Lots of variables
gwill
8/12/22 10:16pm
Depends on the doc
Littlerich
8/12/22 10:08pm
Also depends on the patient and when the exam is done. I wouldn't trust a
cougaman
8/12/22 10:12pm
Depends on who is doing it. I would trust some surgeons and others I wouldn’t
Littlerich
8/12/22 10:17pm
If there is an effusion and the patient is in pain and guarding? That would be
cougaman
8/12/22 10:20pm
Especially if there is swelling stiffening up the end play.
Blue chunks
8/12/22 11:31pm
I will trust my Lachman at 2 days 2 months and 2 years From the study exam was 95% to 100% > MRI(granted I don’t use a
Osteotome
8/13/22 12:51pm
Would you trust a lachman 2 days after in a patient with a significant effusion
cougaman
8/13/22 8:01pm
I would have the patient lie down (on exam table in office or on floor if at home) and I would do a gentle exam of their
Osteotome
8/13/22 8:32pm
From this study exam is about the same and someways better than MRI
Osteotome
8/12/22 10:12pm
Study from 1995? MR technology and techniques are night and day better, as is
Littlerich
8/12/22 10:16pm
Yep. Some of the old studies from the 90s with far inferior coils showed sens/spec of MRI for complete rupture in the
yapacoug
8/12/22 11:07pm
I thought the same thing but I found recent studies that had similar findings.
Boring
8/13/22 11:45am
True but exam was still 100% ??
Osteotome
8/13/22 1:01pm
This seems odd to say before an MRI. Was this a misquote?
cougaman
8/12/22 9:49pm
Yes it is a misquote
JoeExotic
8/12/22 11:22pm
Nothing a little Stiffler’s mom can’t fix.
CrimsonCardinal
8/12/22 9:55pm
If that's right it's best case scenario...learns his lesson w/little harm done
byujdmba
8/12/22 10:03pm
Physical exam is not very reliable for ACL tears. You can have so much
cougERdoc
8/12/22 11:14pm
Your experience in the ER is not the same as mine in the office or home. I’ve had several friends and ward members come
Osteotome
8/13/22 1:04pm
I diagnosed a dozen torn ACLs
CrimsonCardinal
8/13/22 4:35pm
That quote is super misleading from what saleh said.
JoeExotic
8/12/22 11:22pm
RE: Not a torn ACL
icecougar
8/13/22 5:14am
Daniel-son…
rainbowcosmo
8/13/22 10:10am
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