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when the ACL tears a sharp pain is felt within the knee joint this may be accompanied by a pop and the knee usually swells athletes are usually unable to continue competing after the injury if an ACL tear is suspected the knee is examined a few maneuvers have been described that test is ACL to insure that it is still intact and contributing to knee stability may include lachmans test and the anterior drawer test which involves pulling forward on the tibia to see if it glides too far forward in relation to the femur the pivot shift test is also utilized but is usually difficult to perform because of pain x-rays are often obtained to rule out other injuries such as fractures and dislocations but the ACL is not visible on plain film x-rays magnetic resonance imaging or MRI is the imaging test of choice for diagnosing ACL tears the tear is usually clearly visible on an MRI MRIs are also helpful for distinguishing sprains and partial tears of the ACL from complete tears other injuries ofte
