By vgreene, 9 January, 2015 If repair ACL, also fix assoc meniscal tear [L], esp. if locked knee [C], but not assoc incomplete MCL tear [L]
By vgreene, 9 January, 2015 Initial operative mgmt, esp. if Δ laxity of IL vs CL knee<sup>3</sup> >5-7 mm and pt active<sup>4</sup> [L]. Techniques: tibial-independent/transtibial approach [M], single/double bundle [S], autografts or allografts<sup>5</sup> OK [S]
By vgreene, 9 January, 2015 Initial conservative mgmt if Δ laxity of IL vs CL knee<sup>3</sup> <5-7 mm and pt less active<sup>4</sup> [L] w/ delayed repair if recurrent instability [L], goal <5 mo postinjury [M]
By vgreene, 9 January, 2015 Image: AP/lateral XR knee 1st to r/o fx/dislocation, [C] then MRI if needed to r/o internal knee pathology [S]
By vgreene, 9 January, 2015 Exam: neurovasc (esp. tibial/peroneal n.),<sup>1</sup> joint line tenderness, step-off/deformity, effusion, varus/valgus laxity @ 0° and 30° extension, AP/rotational laxity, Lachman test<sup>2</sup>
By vgreene, 9 January, 2015 Hx: injury mechanism, popping/locking/catching, swelling, ability to weight-bear/return to play