Knee
ACL
Sport related injury
Acute ACL tear in a professional rower
A 48-year-old female professional rower sustained a right knee injury in a motor accident, presenting with pain, swelling, and a range of motion (ROM) limited to 0–90 degrees. Physical examination revealed a positive Lachman test.
Given the results of the MRI performed the day after the trauma, what is your diagnosis? What would be your strategy to manage this case?
University of Rome La Sapienza, Roma, ITALY
Orthopaedic surgeon
Part one
Clinical presentation
- 48-year-old
- Female
- Professional rower
- Amateur gym and tennis player
- Right knee injury in a motor accident: pain, swelling
Visit and physical examination the day after the trauma:
- Swelling
- ROM: 0-90
- Lachman test +
- Pivot shift test n.e.
MRI the day after the trauma
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