Anterior cruciate ligament tear - complete

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Twisting injury.

Patient Data

Age: 40 years
Gender: Male

Moderate joint effusion.

Complete tear of the anterior cruciate ligament.

Linear intrasubstance increased fluid signal along with medial meniscus posterior horn not extending to meniscal periphery, favoring grade II horizontal tear.

Associated bone bruises/edema involving the middle weight-bearing part of lateral femoral condyle (lateral femoral notch sign), posterolateral and anteromedial tibial plateau, and fibular head.

Case Discussion

Complete anterior cruciate ligament (ACL) tear with lateral femoral notch sign as a result of an impaction injury of the femoral condyle and tibial plateau during rotational movement.

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