Signs and Evidence

Making clinical sense of scientific data


Beware of the limitations of this tool

Anterior cruciate ligament tear - acute

Calculated pretest probability: 20.3 %
Relevant inclusion criteria: All ages, knee injury 

Clinical signs

1Lachman test
2Anterior drawer test
3Pivot shift

Sources used:

1.Katz JW et al. The diagnostic accuracy of ruptures of the anterior cruciate ligament comparing the Lachman test, the ante- rior drawer sign, and the pivot shift test in acute and chronic knee injuries. Am J Sports Med 1986;14:88-91
2.Benjaminse A et al. Clinical Diagnosis of an Anterior Cruciate Ligament Rupture: A Meta-analysis. J Orthop Sports Phys Ther Volume 36 Number 5 May 2006, 267-288
3.Majewsk M et al. Epidemiology of athletic knee injuries: A 10-year study. The Knee Volume 13, Issue 3, June 2006, Pages 184-188