Would you trust a lachman 2 days after in a patient with a significant effusion

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Aug 13, 2022
8:01:25pm

cougaman All-American

When the patient has significant pain and is likely guarding to tell them that they definitely don't have an ACL tear?

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cougaman

Bio page: cougaman
Joined: Mar 11, 2006
Last login: Apr 26, 2024
Total posts: 68,565 (4,424 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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