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What is a positive Lachman's test?

Published in Medical Diagnosis 1 min read

A positive Lachman's test indicates a potential tear in the anterior cruciate ligament (ACL), a major ligament in the knee.

During the test, a doctor will gently pull the lower leg forward while stabilizing the thigh. A positive result occurs when there is excessive forward movement of the tibia (shinbone) compared to the femur (thighbone). This excessive movement suggests that the ACL is not properly restraining the joint.

It's important to note that a positive Lachman's test is not a definitive diagnosis of an ACL tear. Other tests and imaging studies, such as an MRI, are often needed to confirm the diagnosis.

Here are some practical insights about a positive Lachman's test:

  • Common Symptoms: A positive Lachman's test is often accompanied by symptoms like pain, swelling, instability, and difficulty walking.
  • Treatment: Treatment for an ACL tear can range from conservative measures like bracing and physical therapy to surgical reconstruction.
  • Importance of Early Diagnosis: Early diagnosis and treatment are crucial for optimal recovery from an ACL tear.

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