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you an acute ACL and you come into my practice and I canamp;#39;t test the regular test I still have to find out now what does the ACL do whatamp;#39;s the mechanism of the ACL when I do this is that quad firing what causes the tibia to rise itamp;#39;s not muscle so what causes that to rise AC the ACL tension load so if you have an acute ACL come in and the itamp;#39;s swollen that you canamp;#39;t get a good test put something underneath their calf as a canal lever take your hand on the femur press the femur down if that kicks up itamp;#39;s intact if he had a deficient ACL when I pushed down this foot wouldnamp;#39;t raise off the ground okay same test I can put much more pressure down and you donamp;#39;t see the commensurate motion in the foot thatamp;#39;s a positive test thatamp;#39;s a positive ACL
