Physical exam is not very reliable for ACL tears. You can have so much

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Aug 12, 2022
11:14:07pm

cougERdoc 3rd String

Physical exam is not very reliable for ACL tears. You can have so much

Swelling that it will feel as though the ACL is intact. Seen this a few times in the ER.

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cougERdoc

Bio page: cougERdoc
Joined: Mar 4, 2008
Last login: May 6, 2024
Total posts: 513 (0 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

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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