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hi stalks antennae and theres been quite the controversy lately over whether an ACL needs to be injected with stem cells using ultrasound or whether you need fluoroscopy and so the title of my talk today is so you think a torn ACL can be injected with stem cells using ultrasound save that for the boys at the lodge so we invented and have the worlds largest experience with injecting ACL tears with stem cells to help patients avoid invasive ACL surgery and theres a very nice published paper that seemed to show that you could inject an ACL with ultrasound and call it good these were latex injections in the ten cadaver knees with ultrasound this seemed to work to get the latex into the origin insertion however cadaver parts dont come with known ACL tears and as weve seen time and time again injecting normal ACLs from the bottom at the tibial insertion is pretty easy you can see the stuff go all the way up like these knees but once you get into ACL tears its a different world baby so