Cruciate ligament tears March 2018 | by EMauthor Anterior cruciate ligament •Hyperextension or forced flexion with forward movement of tibia on femur •Common to have associated injuries of the medial meniscus •Rupture of the ligament is characterised by severe pain, rapidly developing knee effusion and difficulty in walking •Later signs of instability or positive anterior drawer test may not be apparent or difficult to elicit in the acute stage •Check the x-ray for avulsion fracture •Haemarthrosis need to be aspirated, seek senior help or refer to orthopaedics •All these cases need fracture clinic follow up Posterior cruciate ligament •Injured with forced backward movement of the tibia on femur, like in a fall or dashboard injuries •Usually associated with collateral ligament injuries •Check radiographs for avulsion fractures •Refer to orthopaedics |
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