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Guidelines

ACL Injury

History

  • Young to middle aged
  • Fall with significant twist – often buckles inwards (valgus)
  • Frequently non contact injury especially in females
  • Sports injury contact to lateral aspect of knee
  • Pain++
  • Heard pop/tearing sound
  • Rapid onset swelling (haemarthrosis)
  • Difficulty WB
  • Possible previous episode of injury
  • Knee giving way/instability

Signs

  • Limp
  • Ongoing swelling
  • Loss of range of movement
  • May also have injured MCL
Lachmans + VE, image Copyright NHS Lothian.
Anterior Draw test 2. image Copyright NHS Lothian

    Referral Guidelines

    ​Secondary care referral

    • Refer to Orthopaedics
    Primary Care Management

    Primary care investigations

    • X-Ray – AP & lateral to exclude #

    Primary care treatment

    • Analgesia
    • PRICE (Protection, Rest, Ice, Compression, Elevation)
    • Walking aids eg crutch
    • Physiotherapy
    Resources and Links

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