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Review Question - QID 727

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QID 727 (Type "727" in App Search)
A 16-year-old high school basketball player sustains a non-contact knee injury when she lands from a rebound. She develops immediate swelling and is noted to have a hemarthrosis. What is the most likely diagnosis?

MCL tear

1%

9/1552

Medial meniscus tear

2%

30/1552

ACL tear

95%

1471/1552

Patellar dislocation

1%

23/1552

Contusion

1%

8/1552

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This is the classic history for an ACL tear. Women's basketball has one of the highest rates of ACL tears. While all of the answers are possible, the incidence of ACL tears in adolescents with an acute knee injury with hemarthrosis is the highest.

Stanitski et al reported that 65% of adolescents with an acute knee hemarthrosis had and ACL tear compared to 45% having a meniscal tear. Likewise, Bomberg et al reported that 71% of patients with an acute hemarthrosis had sustained an ACL injury.

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