(Fig 2-B.09) Mass-like tissue without normally oriented ACL fibers

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✅ Stable vs. Unstable ACL Tears

1️⃣ Unstable ACL Tears:

The following features are associated with unstable ACL tears (including unstable partial and complete tears):

• Nonvisualization of the ACL.
• Visualization of a single bundle.
• Masslike appearance of the ACL.

 

• Anterior tibial translation.
• Uncovering of the posterior horn of the lateral meniscus.
• Buckling of the posterior cruciate ligament (PCL).

2️⃣ Stable ACL Tears:

Characteristics associated with stable ACL conditions (encompassing stable partial tears and normal ligaments) include:

• Attenuated fibers.
• Intraligamentous signal intensity change.
• An elongated ellipsoid appearance of the ACL.

 

Skeletal Radiol. 2012 Mar;41(3):273-80. 

AJR Am J Roentgenol. 1997;168:1487–91

 

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