The Lachman test evaluates for ACL injuries. The knee is flexed to approximately 20–30 degrees. The examiner stabilizes the thigh with one hand while placing the other hand behind the proximal tibia and applies an anterior translational force to the tibia relative to the femur. Compare to the unaffected side. A positive examination is defined by increased anterior tibial translation greater than 2 mm, with or without a firm end point. Sensitivity 74 to 85%, specificity 83 to 95% 🔗👇 Link Below
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Lachman Test | OrthoFixar 2026
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Lachman Test for ACL Tears The original Lachman test is performed like shown in the video. if you have small hands, an alternative is to put your own bent knee under the patient's knee to stabilize the 30° of knee flexion. An alternative is to have the patient in prone lying position and anteriorly translate the knee in 30° of flexion. The Lachman Test is the most accurate test for the anterior cruciate ligament according to literature. According to a meta-analysis of Benjaminse et al. (2006) th
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ANTERIOR DRAWER TEST FOR ACL TEARS Next to the Lachman test, the Anterior Drawer Test is the most common test that is performed in order to assess ACL tears. While this test is a very accurate test in the chronic ACL deficient knee with a sensitivity of 92% and a specificity of 91%, it is not so great in an acute injury with 55% sensitivity and 92% specificity. In an acute situation there is often protective muscle spams by the hamstrings. Additionally, as soon as swelling has started, flexion t
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