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This is called pseudolaxity. In these cases, the knee can toggle side to side and it can be very difficult for the examiner to determine with ones fingers if the gapping is due to an MCL tear or an exacerbation of the underlying arthritis when one does have an injury

Germande O, Ducret T, Quignard JF, Deweirdt J, Freund-Michel V, Errera MH, Cardouat G, Vacher P, Muller B, Berger P, Guibert C, Baudrimont M, Baudrimont I (2022) NiONP-induced oxidative stress and mitochondrial impairment in an in vitro pulmonary vascular cell model mimicking endothelial dysfunction

Brain Res 680:157163 Schmidt MM, Greb H, Koliwer-Brandl H, Kelm S, Dringen R (2010) 2-Deoxyribose deprives cultured astrocytes of their glutathione

Bertotti et al