Thanks a lot Khalid! This is the type of explanation which is more helpful to me. The reasoning behind the tests, the specificity & sensitivity, and the importance of a relevant patients' history (like banging the side of the knee to the bed).
I had a patient who got diagnosed with a torn ACL after a MR-scan. I had done a full assessment and screening of her knee, with a Lachlan's test and anterior drawer test, which i concluded as negative, as i couldn't see any significant laxity when i compared with her uninjured leg. Looking back, there was som important information in her history, which at that time, i couldn't combine with my test findings. She told me that it happened during soccer where she felt her knee cave in, and the weeks after she felt her knee cave in again during soccer. I had her tested on the soccer pitch where she was able to run at a high-intensity, she was able to change direction and to shoot the ball at long distances. I really felt that i was a bad clinician for not diagnosing a torn ACL and i not reacting to the things she told me. Now i am smarter and will look out for these trademark ACL findings in the future. Is it possible that ACL injuries can be difficult to diagnose clinically with special tests, in some people?
Thank you for sharing your story! And the answer is yes absolutely! I used to work with a Surgeon who would sometimes order an MRI scan with a clear suspicion of an ACL rupture from the history alone 🙏🏼
This is an incredible video. Just wanted something informative to watch (while I drank my coffee!! :)) that was engaging too- nailed it! Thanks a million!
Thanks a lot Khalid! This is the type of explanation which is more helpful to me. The reasoning behind the tests, the specificity & sensitivity, and the importance of a relevant patients' history (like banging the side of the knee to the bed).
Thank you so much! This was so helpful. I’m a first year PT student and am excited to use this info in clinical.
I had a patient who got diagnosed with a torn ACL after a MR-scan. I had done a full assessment and screening of her knee, with a Lachlan's test and anterior drawer test, which i concluded as negative, as i couldn't see any significant laxity when i compared with her uninjured leg.
Looking back, there was som important information in her history, which at that time, i couldn't combine with my test findings. She told me that it happened during soccer where she felt her knee cave in, and the weeks after she felt her knee cave in again during soccer.
I had her tested on the soccer pitch where she was able to run at a high-intensity, she was able to change direction and to shoot the ball at long distances.
I really felt that i was a bad clinician for not diagnosing a torn ACL and i not reacting to the things she told me. Now i am smarter and will look out for these trademark ACL findings in the future.
Is it possible that ACL injuries can be difficult to diagnose clinically with special tests, in some people?
Thank you for sharing your story! And the answer is yes absolutely! I used to work with a Surgeon who would sometimes order an MRI scan with a clear suspicion of an ACL rupture from the history alone 🙏🏼
Great lecture , thank you.
So clear,so detailed!!!!
This is an incredible video. Just wanted something informative to watch (while I drank my coffee!! :)) that was engaging too- nailed it! Thanks a million!
Very good approach and help to help with diagnosis of knee pain/ problems
Thank you so much!
Have you done too tips for Hips special tests? Think it would be great
Yes we have!
EXCELENTE
Thank you so much!
Awesome.
Thank you so much!