{"id":3665,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/aclinjury\/"},"modified":"2026-01-07T14:07:23","modified_gmt":"2026-01-07T14:07:23","slug":"aclinjury","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneetraumaticevent\/aclinjury\/","title":{"rendered":"ACL Injury"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">History<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Young to middle aged<\/li>\n\n\n\n<li>Fall with significant twist \u2013 often buckles inwards (valgus)<\/li>\n\n\n\n<li>Frequently non contact injury especially in females<\/li>\n\n\n\n<li>Sports injury contact to lateral aspect of knee<\/li>\n\n\n\n<li>Pain++<\/li>\n\n\n\n<li>Heard pop\/tearing sound<\/li>\n\n\n\n<li>Rapid onset swelling (haemarthrosis)<\/li>\n\n\n\n<li>Difficulty WB<\/li>\n\n\n\n<li>Possible previous episode of injury<\/li>\n\n\n\n<li>Knee giving way\/instability<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Signs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Limp<\/li>\n\n\n\n<li>Ongoing swelling<\/li>\n\n\n\n<li>Loss of range of movement<\/li>\n\n\n\n<li>May also have injured MCL<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"623\" height=\"391\" data-id=\"19137\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Lachmans.png\" alt=\"Lachmans\" class=\"wp-image-19137\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Lachmans.png 623w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Lachmans-300x188.png 300w\" sizes=\"auto, (max-width: 623px) 100vw, 623px\" \/><figcaption class=\"wp-element-caption\"><span class=\"media-credit\">NHS Lothian Medical Photography<\/span> Lachmans + VE, image Copyright NHS Lothian.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" data-id=\"690\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/DSC_9064-Anterior-Draw-test-2.jpg\" alt=\"Anterior Draw test\" class=\"wp-image-690\" \/><figcaption class=\"wp-element-caption\"><span class=\"media-credit\">NHS Lothian<\/span> Anterior Draw test 2. image Copyright NHS Lothian<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">\u200bSecondary care referral<\/h3>\n\n\n\n<p>Refer to Orthopaedics via Sci Gateway<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>SCI gateway &gt;Lauriston Buildings &gt; Orthopaedics \u2013 Knee &gt; LI Non-Arthroplasty Knee<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Primary care investigations<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X-Ray &#8211; AP &amp; lateral to exclude #<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Primary care treatment<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Analgesia<\/li>\n\n\n\n<li>PRICE (Protection, Rest, Ice, Compression, Elevation)<\/li>\n\n\n\n<li>Walking aids eg crutch<\/li>\n\n\n\n<li>Physiotherapy<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>History Signs<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4075,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[409],"class_list":["post-3665","page","type-page","status-publish","hentry","category-aclinjury"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/knee\/kneetraumaticevent\/aclinjury\/\" rel=\"tag\">ACL Injury<\/a>","rttpg_excerpt":"History Signs","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3665","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3665"}],"version-history":[{"count":14,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3665\/revisions"}],"predecessor-version":[{"id":26112,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3665\/revisions\/26112"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4075"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3665"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}