This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Thigh, Knee,Leg,Foot & Ankle injuries, Subject name: Orthopaedics
False regarding anterior cruciate ligament tear is? 
Select and explain. 
A. Commonly occurs as a result of twisting force, B. Rarely associated with meniscal injury, C. Lachman test is highly sensitive test for tear, D. May be associated with Segond fracture
B: Rarely associated with meniscal injury
Answer: B: Rarely associated with meniscal injury 
Explanation: *ACL is commonly associated with medial meniscal Injury, both of which are damaged by twisting injury. *Lachman test is a sensitive test. Segond fracture may be seen on X-ray. ACL Injuries * Most MOI are non-contact rotational forces * Tibia displaced anteriorly on femur (or vice versa), rotational stress (cutting) or hyperextension * May be isolated, but typically due to MOL other structures (joint capsule, menisci) also injured * Positive anterior drawer and/or Lachman&;s tests Ref: Maheshwari 9th/e p.148