
The bone bruise (BB) often detected at the posteromedial tibia associated with acute ACL tear may be related to the traction force from the SM tendon insertion. Magnetic resonance imaging (MRI) alterations can be detectable at the direct arm of the SM tendon. The prevalence of pathologic findings in the direct arm of the SM tendon insertion was high in the acutely injured cohort with ACL rupture. It correlated with BB at the posteromedial tibial plateau.
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