ABFM Sports Medicine Practice Questions - American Board Of Family Medicine Sports Medicine Certificate Of Added Qualifications Exam

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A 22-year-old female collegiate soccer player sustains a non-contact pivot injury with an audible pop, immediate effusion within 2 hours, and a positive Lachman exam. MRI confirms a complete ACL tear with no meniscal or cartilage injury. As the primary care sports medicine physician, what is the most appropriate initial recommendation regarding surgical versus non-operative management?

Mandatory immediate ACL reconstruction within 2 weeks to prevent secondary injury Shared decision-making — ACL reconstruction is typically recommended for a young, highly active pivoting-sport athlete wishing to return to cutting sports Non-operative management with bracing and PT is equally effective in all patients regardless of activity level Delay surgery for at least 12 months to allow ligamentous healing

Correct Answer:

Shared decision-making — ACL reconstruction is typically recommended for a young, highly active pivoting-sport athlete wishing to return to cutting sports

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