New York State Medical Treatment Guidelines for

Anterior Cruciate Ligament in workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Anterior Cruciate Ligament.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Description / Definition of Anterior Cruciate Ligament

Anterior cruciate ligament rupture or partial rupture may be related to another internal abnormality of the knee.

Mechanism of Injury forAnterior Cruciate Ligament

May be brought on by almost any traumatic force to the knee, but twisting or hyperextension forces are the most frequent culprits.

Specific Physical Findings of Anterior Cruciate Ligament

Instability, effusion or hemarthrosis, the Lachman’s test, the pivot shift test, and the anterior drawer test are among the physical examination findings.

Diagnostic Testing Procedures of Anterior Cruciate Ligament

MRI, Radiographs

MRI, Radiographs are recommended in select patients.

Indications: The tibial spine may be partially avulsed, however this is an unusual condition.

Non-Operative Treatment

Non-Operative Treatment is recommended in select patients as clinically indicated.

Rest/restricted activity, cane or crutch off-loading, ice, elevation, bracing, casting, orthotics, rehabilitation and active and/or passive therapy, NSAIDs, and therapeutic injections are among treatment options.

Surgical Indications / Operative Treatment

Surgical Indications / Operative Treatment are recommended in select patients as clinically indicated

Post-Operative Therapy of bracing

Post-Operative Therapy of bracing is recommended in select patients as clinically indicated.

Table 4: Anterior Cruciate Ligament Injury




















What our office can do if you have workers compensation injuries

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.


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