TY - CHAP M1 - Book, Section TI - Knee Injury A1 - Spielman, Shaun A1 - Chumley, Heidi S. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. Y1 - 2019 N1 - T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 33-year-old woman felt a pop in her knee while skiing around a tree. She felt immediate pain and had difficulty walking when paramedics removed her from the slopes. Within a couple of hours, her knee was swollen. On examination the next day, she was able to walk 4 steps with pain. She had a moderate effusion without gross deformity and full range of motion. She had no tenderness at the joint line, the head of the fibula, over the patella, or over the medial or lateral collateral ligaments. She had a positive Lachman test, a negative McMurray test, and no increased laxity with valgus or varus stress. The physician suspected an anterior cruciate ligament (ACL) tear, placed her in a long-leg range-of-motion brace, and advised her to use crutches until an evaluation by her physician within the next several days. She was treated with acetaminophen for pain and advised to rest, apply ice, and keep her leg elevated. Later, an MRI confirmed an ACL tear (Figure 108-1). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164352551 ER -