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welcome to ortho eval pal where we help you build confidence in your orthopedic evaluation and management skills this is probably the best test you can do to identify somebody has an ACL tear and you need to practice this a lot this is not an easy test to learn especially when youre first getting into it so practice on on your colleagues and some of the people you work with and you know every knee that comes in you should be checking this out what you want to do is you want to bring the knee to about twenty to twenty-five degrees you want to stabilize the femur or make sure the patient is super relaxed so I always have them kind of kick back sometimes Ill talk to them and tell them a little story and have them tell me a story while theyre doing that theyre relaxing a little bit and this is a very subtle pull anteriorly okay so watch what I do here its just real quick and you can see where the instability is there Ill demonstrate on this knee here so you can see what a good end p