patient is lying in supine position with the knees held between full extension and 15 degrees of flexion
with the use of one hand stabilize the distal femur (just above the knee) and apply firm pressure to the posterior aspect of the proximal tibia with the other hand (in an attempt to sublux the tibia anteriorly)
anterior translation of the tibia with a 'soft' endpoint is considered to be a positive test indicating ACL rupture (1,2)
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