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so this is a patient in clinic here whoamp;#39;s had a chronic rupture of his anterior cruciate ligament or ACL Iamp;#39;m just gonna show you his exam so this is what is in relax here in clinic so this is the lock man and you can see how much anterior translation he has there this tibia with no definitive end point then on the pivot shift exam you can really see how his knee pivots there and those would be the two findings consistent with anterior cruciate ligament deficiency in the knee