My vote is for chronic mid portion ACL tear with tethering to the adjacent PCL given effacement of the intercondylar fat on coronal T1. The ACL fibers appear “continuous” but imo they are attenuated.
Is the patient Lachman positive on physical exam?
On Thursday, June 19, 2025, 2:18 PM, hilary wrote:
There is anterior tibial translation at the lateral compartment
There is some intra / periligamentous bright signal of the ACL without clearly visible tear in the Cor images, looks intact in the Cor Obl PD images..Sag images show ? low grade partial tear at the tibial insertion
Chronic avulsion of the posterior horn medial meniscal root ligament
I know that the meniscal root ligament can be associated with anterior tibial translation, and can add to stress on the ACL, but can this degree of translation be attributed to the root tear alone?
Or am I missing a chronic ACL tear????
