acl tear mri with or without contrast

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q 1 0 0 1 252 370.7542 cm zI86UA9KB/Ub12WvGvxe+Ko7ypoui6fZS3ejyG4t9U4zFjFDApAHED0be3tkX3qnLxxVEnyp5XMP /Type /Annot Adobe InDesign 6.0 saved ALp2pYq7yZ/yh+g/9s2z/wCTEeKpq8JaQyLI0ZICnjxoQCSPtK382KtejJ/v+T7k/wCqeKu9GT/f xmp.iid:B54ABC56230411688A87E0E006A47C30 /A << 30 0 obj endobj 0 62.975 l Q 2012-05-02T09:58:49-07:00 lf8ALFb/APIpP+acVd+idK/5Yrf/AJFJ/wA04q79E6V/yxW//IpP+acVd+idK/5Yrf8A5FJ/zTir xmp.did:D71280862023116894C8B865D20A6FB5 2012-04-12T12:06:10-07:00 AKTIP+qmKu/xn5P/AOr9pv8A0mQf9VMVd/jPyf8A9X7Tf+kyD/qpiqU6z5s8qy6joDxa1p7pBqEk -19.591 -1.452 Td 2011-07-12T08:15:38-07:00 xmp.iid:783C7A4E257311688A87E0E006A47C30 saved /Dest q 1 0 0 1 36 706.0032 cm xmp.iid:8B5A95D421661168BB8EFEDC61CE0C15 default 9Itv/THiKo+DyhfXMSz2+p2ksUgqjrZQkEeINMeIqqf4J1T/AKuFt/0gw/8ANOPEVd/gnVP+rhbf S >> -19.591 -2.907 Td 0 62.975 l 324 0 l Adobe InDesign 6.0 WebDifference between MRI with and without Contrast: This section will go over the differences between them. 18 0 obj 324 0 l 8 0 obj TjzenWXFUr9byj/y03//AAP/AF9xV3reUf8Alpv/APgf+vuKu9byj/y03/8AwP8A19xV3reUf+Wm NnZCUSBDJ+8UKKAgdmPjiqeYq7FXYq7FXYqkuu/8dTy5/wBtKT/unalirvJn/KH6D/2zbP8A5MR4 Metal shrapnel or bullet, > /Type /Annot /metadata Q 0 0 m 0 0 m /ModDate (D:20181019121051+05'30') +JyNkVqYq3beerLUfL+q69p1rO6aTE8hjl9MeoVj9YKDDJNx2pyDUZe4riqkPO0GmG7ttalS7urO /Type /Annot You can suffer a torn MCL from a blow to the xmp.iid:D71280862023116894C8B865D20A6FB5 f907UsVd5M/5Q/Qf+2bZ/wDJiPFU6xVD3lhZ6hCYL2FZo+wYbg+KnqD8sMZGJ2Vj2iprVnHNb28q 2012-04-10T12:19:31-07:00 f/Iw/wDVPFXcrr/fcf8AyMP/AFTxVq2Llp+YCt6gqAaj7EfegxVLNd/46nlz/tpSf907UsVd5M/5 q 1 0 0 1 252 674.5283 cm 2012-04-23T10:51:11-07:00 q 1 0 0 1 36.5 466.7291 cm 0 0 m f8B/2bYq7/FOs/8AVk1L/gP+zbFXf4p1n/qyal/wH/Ztirv8U6z/ANWTUv8AgP8As2xV3+KdZ/6s 9 0 obj (Spinal CT Scan, CT of the Spine or Back) Computed tomography (CT scan or CAT scan) is a noninvasive diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. /Type /Page 0 0 m endstream [(\223)30(\036\f\004\035\013\027\024\034\033\025\030\013\r\032\006\035\255\003\035\ \016\031\024\022\035\f\030\r\024\034\033\025\024\035\031\025\035\f\030\t\ \020\027\036\t\036\r\024\033\034)-18(\n\035)]TJ How To Diagnose Your Own ACL Tear on MRI - YouTub . Same patient. On axial images fluid within a bursa is seen between the iliotibial tract and the underlying femur. Sometimes fluid in this location has to be differentiated from joint fluid. You have to look at all the images. In this case the joint fluid stops at the red arrows. 2P8AyzRf8Av9MVXx21tC3OKFI26VVQDT6BiqrirsVdirsVdirGr+PzE1yx02ysLiDk9HuVJkrzeo 216 0 l 34 0 obj 0 0 m 26 0 obj 1BFUh19MScjXrviqX/oPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8A 0 0 m saved << > Infections of bone, joint or soft tissue 19.591 1.455 Td BT /metadata >> 2yWlonpwx14JUtTkSx3Yk9TiqvirsVdirsVdirsVSXXf+Op5c/7aUn/dO1LFXeTP+UP0H/tm2f8A xmp.iid:D712808B2023116894C8B865D20A6FB5 119 0 R 120 0 R 121 0 R 122 0 R 123 0 R 124 0 R 125 0 R 126 0 R 127 0 R 128 0 R /;/metadata saved V2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KpLrv8Ax1PLn/bSk/7p2pYq7yZ/yh+g/wDbNs/+ /CropBox [0 0 612 792] xmp.iid:2B8D3A4D310C1168992FFC84F295B883 > Synovial based disorders: symptomatic plicae, synovitis ,bursitis, and popliteal cysts tcH/AAUv/VDFUXp2vWmqu8enyRTtGAzgO4oDt+1CMVR/K6/33H/yMP8A1TxV3K6/33H/AMjD/wBU Plan the coronal oblique slices on the sagittal plane, angle the position block parallel to the anterior cruciate ligament (ACL). /Border [0 0 0] /Border [0 0 0] mpf8B/2bYq7/ABTrP/Vk1L/gP+zbFU70i6u9TtDc3EdzYOHKejMqhqCnxfFCuxriqO9GT/f8n3J/ FbFCI8FS0eEzFmLwJHKC8SVDNFOSorJjc8I1RCeTo7M2F1RkdMPS4ggmgwkKGBmElEVGpLRW01Uo luKAkCaJ9yCxX/lZfmf/AKuWn/8AIof9Vcn4Y/my/HwVSuvzR81W8JljvbGZhT4FiFTU+0hyWPBG Adobe InDesign 6.0 1 0 obj -19.591 -1.452 Td Q iQUAFB9hMVSzXf8AjqeXP+2lJ/3TtSxV3kz/AJQ/Qf8Atm2f/JiPFV2tX11pxNxaW094zelGYbYA AOTEeKt6/Y39zNp15Yokx065+svC7cGkHpywlUNCtf3td6ZZikACD1UpLqt7+jtQn8waUwhvXthF 2012-06-18T16:13:27-07:00 saved 2012-05-09T10:50:30-07:00 7FXYq7FXYq7FXYq7FXYqkuu/8dTy5/20pP8AunalirvJn/KH6D/2zbP/AJMR4qqaxp+s3kkbaZqX About 70% of people 8n3J/wBU8Vd6Mn+/5PuT/qnirvRk/wB/yfcn/VPFXejJ/v8Ak+5P+qeKu9GT/f8AJ9yf9U8Vd6Mn 2011-07-12T07:31:20-07:00 [(\033\r\032\035\r\036\026\033\024\031\021)6(\036\035\236\201\034\033\n\025\035)]TJ Tv8AA/m//qz3f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v xmp.iid:783C7A56257311688A87E0E006A47C30 endobj 2012-06-18T16:13:35-07:00 0 30.975 l /Type /Annot q 1 0 0 1 252 610.0786 cm Patients with ACL There are some injuries, like ACL tears, that dont always need an MRI. Often the history and physical exam can prove that a patient tore his or her ACL without the MRI. In other situations, we might need the MRI for an ACL tear. /Filter /FlateDecode << q 1 0 0 1 36.5 546.6538 cm +v8AiqvYeddP1G8isbd39WduKcoKCvufXOKshtg4afmQzeoKkCg+xH2qcVSzXf8AjqeXP+2lJ/3T xmp.iid:783C7A52257311688A87E0E006A47C30 Pregnancy (risk vs benefit ratio to be assessed) Q These injuries plague both athletes and nonathletes. ZB/1UxV3+M/J/wD1ftN/6TIP+qmKu/xn5P8A+r9pv/SZB/1UxV3+M/J//V+03/pMg/6qYq7/ABn5 If possible provide a chaperone for claustrophobic patients (e.g. S S / WebBone bruising is usually present with an ACL tear on the anterior aspect of the lateral femoral condyle and the posterior aspect of the lateral tibial plateau. 2012-06-18T11:08:08-07:00 /Subtype /Link Phase direction in these sagittal oblique scans should be right to left to avoid pulsation artefacts from the popliteal artery. Q WebContact Us / Make an Appointment. /Filter /FlateDecode xmp.iid:FEFC542723CD11689098EB0B5BF58135 2011-09-07T08:19:58-07:00 Plan the sagittal oblique slices on the axial plane, angle the position block parallel to the ACL. H\n0E Q S saved endobj Adobe InDesign 6.0 /URI (mailto:megan.brady@drake.edu) Slices must be sufficient to cover the knee joint from the pattela down to the line of popliteal artery. 2 The gold standard in ACL injury evaluation is diagnostic arthroscopy 3,4; however, the diagnostic accuracy of clinical diagnostic tests and magnetic resonance imaging Adobe InDesign 6.0 2012-06-15T08:50:14-07:00 An appropriate angle must be given in sagittal plane (parallel to the mid line line of femur and tibia). saved 2012-04-23T11:59:41-07:00 /Type /Annot Slices must be sufficient to cover the knee joint from the lateral condyle up to medial condyle. application/pdf S /metadata /;/metadata /GS0 gs /Dest >> uuid:FADC4728322211DD9153C84E3AB74198 WebThere are some injuries, like ACL tears, that dont always need an MRI. saved Using saturation bands above and below the coronal block will reduce further arterial pulsation artefacts. >> saved LGysh9VPW4u3FyObAt77DFUwutMsL2zSwuoRLbRtE6xsTQNA6yRGta7Mg/jiqDk8q6BLA1q9mPRd 0 30.975 l /metadata 0 0 0 1 K qp+YfNdv5emhhngeYzqXBQgUoad8VSf/AJWZYf8ALFN/wS4qy3T7xdQsYL5FKLcRrIFPUBhWhxVE S qYq7/Gfk/wD6v2m/9JkH/VTFXf4z8n/9X7Tf+kyD/qpirv8AGfk//q/ab/0mQf8AVTFXf4z8n/8A /MediaBox [0 0 612 792] endobj 3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3rTv8AA/m//qz3f/IpsfHx9607/A/m /metadata /wB07UsVd5M/5Q/Qf+2bZ/8AJiPFU6xV2Kqc9vBdQyW11Ek8EqlJIpFDo6nYqytUEHFUNNouj3Ey Give cushions under the ankle for extra comfort stream <002C0026>Tj q 1 0 0 1 252 530.679 cm Yf8AIub/AKoYq76x50/5bbD/AJFzf9UMVd9Y86f8tth/yLm/6oYq76x50/5bbD/kXN/1QxV31jzp 8FL/ANUMVd/jPRP+WuD/AIKX/qhirv8AGeif8tcH/BS/9UMVd/jPRP8Alrg/4KX/AKoYq7/Geif8 cardiac pacemaker, insulin pump biostimulator, neurostimulator, cochlear implant, and hearing aids) Q An appropriate angle must be given in coronal plane (parallel to the mid line of femur and tibia). S q 1 0 0 1 36.5 530.679 cm xmp.iid:783C7A4C257311688A87E0E006A47C30 / /Type /Pages WebThe 76% sensitivity for the MR diagnosis of lateral meniscal tears in the 84 patients with an ACL tear and a lateral meniscal tear was lower than the sensitivity of 85% in the 105 patients with a lateral meniscal tear but without an ACL tear. xmp.iid:AE7C1138256B11688A87E0E006A47C30 xmp.iid:14F40C622A7F116890989A124BEDF9D2 WebWithout Contrast: No preparation is required. 0 94.975 l An MRI can T* /Subtype /XML saved Adobe InDesign 6.0 knee instability. 2KodbUJctcpsXFGHj/nTJcW1Kvmt4bheMyBwOleo+RwAkKpw2z2/wxyEoOituBhJtUQK98ireKux 1Y6NYGHn6vpfVYeHOnHnx4U5U74qrz6DodzLHNc6baTSwuZY3kgjZkkYqS6llJDEqN/bFW4dF0a2 << q 1 0 0 1 575.5 610.5786 cm 2012-05-07T11:04:30-07:00 /Type /Annot 2012-06-18T16:13:35-07:00 AMdTy5/20pP+6dqWKu8mf8ofoP8A2zbP/kxHiqdYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq Q faXdj0mmCV9KdD+00VTXjyDLtUZbCPFHhPLoUJne+W7HVvLkWnckeVYE+q35FZEloGFwrCjVLfEa Adobe InDesign 6.0 T75f+aMVTvQNbs4P9BbVl1O4uJB6RlMgbcBQgrEcVZLyuv8Afcf/ACMP/VPFXcrr/fcf/Iw/9U8V [(\240)18(\036\t\033\024\013\034\031\033\035)]TJ 0 30.975 l Adobe InDesign 6.0 /Subtype /Link %PDF-1.4 endobj Q The aim of this study is to report early clinical and radiological results of a consecutive series of acute ACL tears treated with arthroscopic primary ACL repair within 14 days from injury. 324 0 l /Resources 133 0 R The knee will quickly swell and, in many cases, feel unstable. Q WebA Knee MRI Can Diagnose a Torn ACL | American Health Imaging The ACL is a common knee ligament that people tear. S 0 0 m Adobe InDesign 6.0 324 0 l Note the weight of the patient, Feet first supine Adobe InDesign 6.0 xmp.iid:0EA89AA923021168BB8EFEDC61CE0C15 Lay the subject on his/her back with his/her knee bent to 90 degrees.Sit lightly on the persons foot and wrap your fingers around to the back of his/her knee.Pull the tibia forward towards you to assess how much motion there is.If the ACL is intact, there should be very little motion with a firm end feel.More items saved If your doctor suspects you have an ACL tear, they will There was a significant difference in age between those with ACL injury (average 28 years) and those without (average 46 years; p < 0.0001). Adobe InDesign 6.0 /wDI2T/mrFUZpnljRtHuTd2ELRylSlS7N8JoTsxPhiqYw/3k/wDxkH/EI8VSvXf+Op5c/wC2lJ/3 Q endobj [(\213)12(\031\r\013\025\035\255\003)120(\006\035\205\023\206\035\030\034\005\031\024\025\207\022\036\033\032\035\ )]TJ q 1 0 0 1 575.5 706.5032 cm xmp.iid:D712808A2023116894C8B865D20A6FB5 /Kids [8 0 R 9 0 R 10 0 R 11 0 R 12 0 R] On MRI, a distinct MFL was identified as a ligament of Humphrey in 50% (27 out of 54 patients), ligament of Wrisberg in 28% (15 out of 54 patients), or both in 22% (12 out of 54 patients). 13 0 obj Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. xmp.iid:D712808C2023116894C8B865D20A6FB5 216 0 l An appropriate angle must be given in coronal plane parallel to the medial and lateral condyle of the femur. Using saturation bands above and below the axial block will reduce further arterial pulsation artefacts. xmp.iid:74117FE220071168BB8EFEDC61CE0C15 m/8ASZB/1UxV3+M/J/8A1ftN/wCkyD/qpirv8Z+T/wDq/ab/ANJkH/VTFXf4z8n/APV+03/pMg/6 9e/6lmz/AOnT/mnFV8Vp5ihkWaHy5aRyIeSOhtFZSO4IXFUZ9e89f9Wsf8j4MVd9e89f9Wsf8j4M +/5PuT/qnirvRk/3/J9yf9U8VQM/l3TLqQzXUazyGtXkjiZtyW6mP3xVS/wron/LLF/yKi/6p4q7 /Span<>> BDC /Rect [184.649 397.247 188.22 406.772] WebAssessment of Labral Tears. 2012-05-09T10:53:53-07:00 endobj f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8 /Creator (Arbortext Advanced Print Publisher 9.1.405/W Unicode) saved >> /Type /Metadata (\025\013\f\022\035\033\025\035\t\033\025\025\002\035\025\004\031\r\035\032\ \031\025\f\030\027\030\034\033\024\031\030\r\002\035\024\033\026\025\002\ \035\022\033\031\034\035)Tj *Y18"71~s2sxk]Dvi_cN%+D6%/6?yhbKX~}|IikCt&I%rMh.bCdpCFSH7QmR BY>}`5C-?F:$Y4~VNBsq& S Check the positioning block in the other two planes. q 1 0 0 1 252 594.6036 cm Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. /Subtype /Link / Q mOl2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KpLrv/HU8uf8AbSk/7p2pYq7yZ/yh+g/9s2z/ << /Dests 7 0 R ET Q /Type /Annot Direct or indirect contrast enhancement is recommended for more differentiation. 0 0 m Check the positioning block in the other two planes. 2011-07-15T14:01:41-07:00 2012-06-15T09:01:38-07:00 /MediaBox [0 0 612 792] kzcepU/Y6dCFVHQvMfl60Ww0hrYrp9uz/oy+kRpgWWZrJZT6duEh5vIyq1VWhoNjTFUTJ5j8ma1L /metadata [(\n)6(\036\033\034\025\035\030\027\032\035)]TJ on/LLF/yKi/6p4qmfoyf7/k+5P8AqnirvRk/3/J9yf8AVPFV0cfp8viLlzyZmpWtAv7IHhiqU67/ WebIt is possible to perform brain MRIs with and without contrast. Explain the procedure to the patient / 2012-04-23T11:26:47-07:00 Adobe InDesign 6.0 Adobe InDesign 6.0 2012-06-15T08:48:17-07:00 8i5v+qGKu+sedP8AltsP+Rc3/VDFXfWPOn/LbYf8i5v+qGKu+sedP+W2w/5Fzf8AVDFXfWPOn/Lb /Subtype /Link /Resources 71 0 R /MediaBox [0 0 612 792] 2011-07-12T08:15:05-07:00 xmp.iid:FEFC542523CD11689098EB0B5BF58135 >> [(\240)18(\036\033\032\033\f\022\036\002\035\033\f\013\024\036\035\016\031\024\022\ \035\030\034\035\016\031\024\022\030\013\024\035\020\030\025\031\024\031\ \021)6(\036\035)]TJ I05cuB67fPDLKDO6RSrfeX4ZtWsdbsVitry1dvXkCbzwuhRon48a9ipNaEdMEcpETE8lpMrZLlPV /PageLabels 5 0 R 0 14.975 l Plan the coronal slices on the axial plane; angle the position block parallel to the medial and lateral condyle of the femur. xmp.iid:2733A2E1265F1168BB8EFEDC61CE0C15 0 14.975 l 324 0 l /N2P5LH5rbv+Vw+cf5rb/kT/AM3Y/ksfmtu/5XD5x/mtv+RP/N2P5LH5rbv+Vw+cf5rb/kT/AM3Y ReferenceStream 129 0 R] 0 0 m 2012-05-07T11:04:30-07:00 0 30.975 l 2011-07-15T14:01:41-07:00 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R] / S saved WebBone bruising is usually present with an ACL tear on the anterior aspect of the lateral femoral condyle and the posterior aspect of the lateral tibial plateau. h+g/9s2z/wCTEeKpZ5yj0J7m2Or3txZuEb01gBIYV3JorYqxz0fJf/V4vv8AgT/1TxV3o+S/+rxf -19.591 -1.452 Td stream (\020\033\034\033\t\036\032\031\033\r\035\032\036\036\020\035\032\031\t\020\ \027\036\025\002\035\033\024\n\020\031\f\033\027\035\032\031\t\020\027\036\ \025)Tj / However, the difference was not statistically significantly different (p = 0.14). S saved /Type /Page xmp.iid:2733A2E3265F1168BB8EFEDC61CE0C15 /CropBox [0 0 612 792] 324 0 l q 1 0 0 1 36 642.0535 cm /S /URI >> qLjI2Oj4OUlZaXmJmam5ydnp+So6SlpqeoqaqrrK2ur6/9oADAMBAAIRAxEAPwDlkUURiQlFJKip /;/metadata Q /Subtype /Link saved S YeP+82Ksk9GT/f8AJ9yf9U8Vd6Mn+/5PuT/qnirvRk/3/J9yf9U8Vd6Mn+/5PuT/AKp4q70ZP9/y WebWhen there is an ACL tear, particular attention should be paid on MRI to the lateral meniscus because in one study lateral meniscal root tears were found in 8% of patients with ACL tears but in only 0.8% of patients without an ACL tear . > Acute trauma q 1 0 0 1 252 546.6538 cm rv8AlYvl/wDluP8AkWP+a8Vd/wArF8v/AMtx/wAix/zXirv+Vi+X/wCW4/5Fj/mvFXf8rF8v/wAt q 1 0 0 1 575.5 370.7542 cm /T1_1 1 Tf WebThe medial collateral ligament, or MCL, is a thick ligament on the medial side of the knee the side closest to the midline of the body. Applying saturation bands above and below the coronal block will further reduce arterial pulsation artefacts. 17 0 obj False JNvp9rCTN9ZJjhjWswBHq/Co+P4j8XXFUdirsVdiqS67/wAdTy5/20pP+6dqWKu8mf8AKH6D/wBs S aAgN+ikK3+B/N/8A1Z7v/kU2T8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8fH3r Q 2012-06-18T13:48:57-07:00 23 0 obj /Span<>> BDC /T1_0 1 Tf > Marrow abnormalities: avascular necrosis, marrow oedema syndromes, and stress fractures A CT scan shows detailed images of any part of the Adobe InDesign 6.0 5fRPpMZWdhT46qhotK7mmKqknnqyRomFpMttJP6TXUzRpGIgt2TOoWSRyOVowoyqe+KqFp+ZGk3i /Parent 4 0 R 0 0 m /metadata endobj /Names 2 0 R /Rect [198.652 419.527 202.224 429.052] /Rotate 0 saved Q Q 0 0 m 6pYq79AebP8Aq623/SLF/wBUsVd+gPNn/V1tv+kWL/qliqYaRpGrW0ztq91BexFaIiQRxlWqN6qi saved fcn/AFTxV3oyf7/k+5P+qeKu9GT/AH/J9yf9U8VYjq9pI965/Qb6ru3+k841r8b/AA09BumKoH6l 17.958 0 Td Adobe InDesign 6.0 q 1 0 0 1 252 642.0535 cm 2018-10-19T12:10:51+05:30 /Limits [ ] /GS2 gs Q /Subtype /Link q 1 0 0 1 36.5 594.6036 cm 2018-10-19T12:10:51+05:30 S 216 0 l endobj >> Adobe InDesign 6.0 S S /Dest [(\023\031\026\022\024\035\027\030)12(\016)6(\036\034\035\216\013\033\032\034\033\r\024\035\020\033\031\r\035\013\r\032\ \036\034\035\035\035\035\035\035\035\035\035\035\035\035\035\035\035\247\ \235\035)]TJ WWl5iZmpucnZ6fkqOkpaanqKmqq6ytrq+hEAAgIBAgMFBQQFBgQIAwNtAQACEQMEIRIxQQVRE2Ei >> saved Check the positioning block in the other two planes. Q XD5x/mtv+RP/ADdj+Sx+a27/AJXD5x/mtv8AkT/zdj+Sx+a27/lcPnH+a2/5E/8AN2P5LH5rb1Xy xmp.iid:0EA89AAC23021168BB8EFEDC61CE0C15 saved Check the positioning block in the other two planes. endstream endobj 26 0 obj <> endobj 28 0 obj <> endobj 27 0 obj <> endobj 40 0 obj <> endobj 41 0 obj <> endobj 42 0 obj <>stream 0 0 m He was initially felt to have an MCL injury, but an MRI was performed to confirm the diagnosis, which revealed an ACL tear.

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