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the next thing that well review is anti cruciate ligament tears so well go through normal Anatomy and what a torn ACL looks like and also look at some of the secondary signs of an ACL tear so next well move into the evaluation of the cruciate ligaments and first well start off with the ACL so this is a sagittal view were starting in the lateral aspect of the knee and as we start to move more medial here is the fibular head and the biceps femoris and well get into the joint and the first thing we see is bone bruising so bone bruising is present usually with an ACL on the anterior aspect of the lateral femoral condyle and the posterior aspect of lateral tibial plateau and a bone bruise usually occurs because of the subluxation that happens with an ACL tear so this portion the tibia was impacted against the anterior aspect of lateral femoral condyle at this location most people who feel a pop when they tailor ACL have it have the pop occur because theres a bone bruise and this is