Knee

What the Condition is (Anatomy + Pathology)

The Anterior Cruciate Ligament (ACL) is one of the primary stabilizing ligaments located at the center of the knee. It prevents forward translation of the tibia, supports rotational stability, and protects the knee during cutting, pivoting, and sudden directional movements. 

It works in coordination with the PCL, MCL, LCL, meniscus, and surrounding musculature to maintain normal knee biomechanics. 

Understanding the Injury

ACL injuries commonly occur from twisting, pivoting, sudden deceleration, awkward landings, or direct contact. 

High-Risk Population: Athletes, workers involved in physical activity, individuals with poor neuromuscular control, female athletes (higher incidence due to anatomical and hormonal factors).

Common Symptoms: A popping sound, immediate swelling, instability or “giving way”, difficulty with weight-bearing, and reduced range of motion.

Non-Surgical Treatment Options

Non-Surgical management is considered for partial tears, low-demand patients, or individuals focusing on stability training. 

Our conservative approach includes: 

  • Targeted Physical Therapy 
  • Strengthening of Quadriceps, Hamstrings, Hips
  • Knee Bracing for Stability
  • Activity Modification
  • Anti-Inflammation Management 

Surgical Treatment Options

Surgery is recommended for complete tears, instability, active individuals, and athletes. 

Our orthopedic surgeons use: 

  • Arthroscopic ACL Reconstruction 
  • Graft selection based on Patient Anatomy & Goals

(Hamstring, Patellar Tendon, Quadriceps Tendon, Allograft)

  • Anatomic Tunnel Placement for restoring biomechanics 
  • Advanced Fixation Devices to ensure stability and faster recovery
  • Special Consideration (Pediatrics or Unique Cases)

Pediatric ACL Injuries require growth plate consideration. Our surgeons use physeal-sparing techniques when necessary to protect bone development. Multi-ligament may require staged or combined procedures. 

  • Recovery Expectations

Most Patients begin walking early with support. Return to sport typically ranges from 6-12 months based on rehab progression, graft healing, and strength symmetry. 

Delaying treatment can lead to:

  • Recurrent Instability 
  • Meniscus Tears
  • Early Arthritis 
  • Reduced Function

When to See an Orthopedic Surgeon

If you are experiencing instability, swelling, recurrent giving way, inability to play sports, or persistent pain following a twisting injury, early evaluation is advised. 

Why Accelerate Orthopedics is the Right Center 

Our team provides:

  • Fellowship-Trained Knee Specialists 
  • Precision Diagnose with Musculoskeletal Ultrasound
  • Advanced Arthroscopy and Reconstruction Techniques
  • Comprehensive Post-Operative Rehabilitation Guidance

How Our Doctors Diagnose the Condition 

  • Detailed Clinical Exam (Lachman, Pivot Shift, Anterior Drawer)
  • Ultrasound Evaluation for Soft-Tissue Assessment 
  • MRI to Confirm Tear Pattern and Associated Injuries 
  • Functional Testing for Stability