A 22-year-old male basketball player presents with a swollen, painful left knee. He was on a fast break and as he began to jump for an alley-oop, he felt his knee give out and he collapsed to the floor. What is the most likely diagnosis

Correct Answer: Anterior cruciate ligament injury
Description: The history provided describes a noncontact injury to the knee during an acceleration-deceleration/pivoting move with the patient experiencing a feeling of giving way in his knee. The player quickly accumulates a knee effusion and has significant pain. These findings are characteristic descriptions of an ACL injury. The Lachman test is diagnostic for this injury, and an MRI would confirm the diagnosis.
Category: Orthopaedics
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