Condition guide

Anterior Cruciate Ligament (ACL) Injury - Overview

A tear or sprain of the anterior cruciate ligament (ACL), a key stabilizing ligament in the knee, often occurring during sports involving sudden stops or changes in direction.

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Symptoms

  • Severe knee pain at the time of injury
  • Swelling shortly after injury
  • Feeling of instability or 'giving way'
  • Difficulty bearing weight on the knee
  • Loss of range of motion

Causes & Risk Factors

  • Pivoting or cutting movements in sports
  • Landing awkwardly from a jump
  • Sudden deceleration
  • Direct blow to the knee
  • Weak surrounding musculature

Diagnosis

  • Physical exam (Lachman and anterior drawer test)
  • MRI scan
  • X-ray to rule out bone injury
  • Assessment of knee stability

Effective Treatment Options

  • Rest, ice, and bracing
  • Physical therapy
  • Reconstructive surgery for complete tears
  • Rehabilitation and strengthening exercises
  • Use of assistive devices initially

Frequently Asked Questions

Can you walk with a torn ACL?

Some people can walk, but instability is common. Treatment is needed.

Is surgery always required for ACL tears?

Not always, partial tears or low-demand patients may improve with rehab alone.

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Learn about assessment, rehabilitation and consultation preparation in these treatment guides.

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