Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/5/2025

Diagnosis of Anterior Cruciate Ligament Injuries

Test Characteristics and Diagnostic Performance

  • The Lachman test is the most sensitive clinical examination for detecting ACL rupture, according to the American Academy of Orthopaedic Surgeons 1, 2

Clinical Application

  • The American Academy of Orthopaedic Surgeons recommends the Lachman test for assessing anterior tibial translation relative to the femur with the knee flexed at 20-30 degrees 1, 2

REFERENCES

1

aaos appropriate use criteria: treatment of anterior cruciate ligament injuries. [LINK]

The Journal of the American Academy of Orthopaedic Surgeons, 2016

2

aaos appropriate use criteria: treatment of anterior cruciate ligament injuries. [LINK]

The Journal of the American Academy of Orthopaedic Surgeons, 2016