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Orthopaedics · Knee trauma: ACL injury
Sample itemA footballer twists the knee, hears a pop, develops rapid swelling, and later reports instability when changing direction. Which ligament is most likely injured?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Anterior cruciate ligament
ACL rupture commonly follows a noncontact pivoting injury with a pop, hemarthrosis, and subsequent giving-way episodes. Examination and MRI help define associated injury.
Option by option
A. Anterior cruciate ligament (correct)
Correct. The mechanism and hemarthrosis are typical of ACL rupture.
B. Medial collateral ligament only
MCL injury is usually from valgus force and medial joint-line pain.
C. Patellar tendon
Patellar tendon rupture causes inability to actively extend the knee.
D. Posterior cruciate ligament
PCL injury often follows posterior force to a flexed knee, such as dashboard trauma.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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