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hey everybody this is Paul from ortho eval pal but I want to talk to you about today is how to explain to a patient what the ACL ligament does alright so when you do a Lachman test you kind of put that ligament at SLAC okay and then when you do the Lockman you give this kind of an abrupt end point where the ligament is becoming taut okay so the way I explain it to my vision is I take my shirt like this and I say this is your ligament at rest and when I pull the tibia forward we get this kind of a snap snap snapping type of sensation which is what that that ligament is doing when were hitting the end point which is a good thing so when they hear this little snapping and its all knocking when you do that thats a good thing okay so you can explain it to the patient they have a better idea about how the ACL works so what Id like to know from you is how do you explain to your patients what the ACL does and what is the analogy that you use to make them understand it better thanks