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The classic scenario is a non-contact deceleration, jumping or cutting action. The patient might hear or feel a "pop". The acute hemarthrosis is caused by bleeding from branches of the middle geniculate artery. Women's basketball has one of the highest rates of ACL injury. With the above history, the literature states that the likelihood of ACL injury is greater than 70%. The reference by Maffulli et al. prospectively evaluated 106 acute hemarthroses in athletes and found 71 had an injury to the ACL.
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