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Previous Volume 359:2135-2142 November 13, 2008 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A female high-school soccer athlete reacts to a defender, plants her leg, cuts to the left without contact, feels her leg give out, hears a pop, and has acute pain. She is unable to walk off the field or return to play. That evening her knee progressively swells. The next day she presents for evaluation. How should her case be managed?

The Clinical Problem

The . . . [Full Text of this Article]

Strategies and Evidence

Diagnosis

Treatment

            Surgical Approaches

            Associated Injuries

Rehabilitation

Prevention

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From Vanderbilt Sports Medicine, Vanderbilt University Medical Center, Nashville (K.P.S.); and the Department of Orthopedic Surgery, Washington University School of Medicine at Barnes–Jewish Hospital, St. Louis (R.W.W.).

An audio version of this article is available at www.nejm.org.

Address reprint requests to Dr. Spindler at Vanderbilt Sports Medicine, 4200 Medical Center E., South Tower, 1215 21st Ave. S., Nashville, TN 37232-8774, or at kurt.spindler@vanderbilt.edu.

Related Letters:

Anterior Cruciate Ligament Tear
Maffulli N., Longo U. G., Denaro V., Spindler K. P., Wright R. W.
Extract | Full Text | PDF  
N Engl J Med 2009; 360:1463, Apr 2, 2009. Correspondence

This article has been cited by other articles:

• Lyman, S., Koulouvaris, P., Sherman, S., Do, H., Mandl, L. A., Marx, R. G. (2009). Epidemiology of Anterior Cruciate Ligament Reconstruction. Trends, Readmissions, and Subsequent Knee Surgery. JBJS 91: 2321-2328 [Abstract] [Full Text]  
• Maffulli, N., Longo, U. G., Denaro, V., Spindler, K. P., Wright, R. W. (2009). Anterior Cruciate Ligament Tear. NEJM 360: 1463-1463 [Full Text]