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ACL tears are diagnosed through a physical examination, with patients typically experiencing a popping sensation and deep pain in the knee. Immediate swelling and blood filling are common due to tears in the middle genicular artery. The Quadriceps Avoidance Gate Unlock Ment test is sensitive for diagnosing ACL tears, involving anterior translation of the tibia against the femur. Radiological studies can show ACL tears alone or combined with other injuries.