Quick facts
The anterior cruciate ligament (ACL) is one of four major ligaments stabilizing the knee, running diagonally through the center of the joint to resist forward sliding of the shin bone and excessive rotation. It is put under particularly high strain during rapid deceleration, pivoting, and landing from a jump.
ACL injuries are among the most extensively studied injuries in sports medicine, most often occurring during non-contact movements such as cutting or landing rather than direct collision. They are especially common in sports involving frequent pivoting, such as soccer, basketball, and skiing, and disproportionately affect younger athletes.
Management of an ACL tear can involve surgical reconstruction or, in some cases, a structured non-surgical rehabilitation approach, with the choice depending on factors such as activity goals, associated injuries, and knee stability. This page covers the ligament's anatomy and role, related conditions, assessment, and the extensive exercise progression typically involved in ACL rehabilitation.
The profile
- Pain frequency50
- Recovery length90
- Exercise load85
- Clinician need90
- Self-care fit25
- Recurrence risk40
Clinician need
The anterior cruciate ligament stabilizes the knee against pivoting and forward-sliding forces, and its rupture is one of the most studied and rehabilitation-intensive sports injuries.
Seven ways into this topic
Frequently asked questions
Does every ACL tear require surgery?
How long does ACL reconstruction recovery typically take?
What graft options are used for ACL reconstruction?
Why does ACL rehabilitation take so long?
What is the risk of re-tearing the ACL?
Are women at higher risk of ACL injury than men?
Can the ACL heal on its own without surgery?
What tests determine readiness to return to sport after ACL injury?
Sources & research
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