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ACL tears radiological diagnosis the until crochet issue in the center of the knee it prevents an tear translation of the tibia on the femur the mechanism of injury is usually in non-contact riveting injury the ACL tears depression feels a pop and a deep pain in the knee the patient usually feels immediate swelling and then he is usually filled with blood this occurs due to tear of the middle genicular artery you on examination the patient will have a quadriceps avoidance gate unlocked mint test in the most sensitive test to diagnose ACL tear the test is done with the knee bent to about 20 to 30 degrees oh the tibia anteriorly and posteriorly against the femur if the ACL is ruptured the ACL will be lacks and the examination will feel softer with no endpoint the tibia can be pulled forward more than normal and that is called anterior translation the Radiological is studies the ACL tear is usually seen alone or in combination with other injuries on the hv can see anterior cruciate ligam