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What is the ACL?

The anterior cruciate ligament (ACL) is one of the major ligaments of the knee. A ligament is a strong band of tissue. Your ACL is located in the middle of your knee and runs from your femur (thigh bone) to tibia (shin bone). The ACL prevents the tibia from sliding out in front of the femur. Together with the posterior cruciate ligament (PCL), it provides rotational stability to the knee.

ACL Tear Causes

An ACL injury is typically a sports-related injury. ACL injuries can happen when you twist or hyperextend your knee. An ACL tear can occur during several different movements:

  • Rapidly changing direction

  • Stopping suddenly

  • Slowing down while running

  • Pivoting with your foot firmly on the ground

  • Landing awkwardly after a jump

  • Direct contact from a collision like a football tackle

ACL Tear Symptoms

When you injure your ACL, you may hear a popping sound. You may feel as though the knee has given way. Within the first several hours after injury, your knee will swell. You may have a buckling sensation in the knee during twisting movements.

Find a Pediatric Orthopedic Doctor

Locations & Directions

PRIMARY
CHILDREN’S HOSPITAL  

100 Mario Capecchi Dr
Salt Lake City, UT 84113

801-662-1000

LEHI (MILLER CAMPUS) 
PRIMARY
CHILDREN’S HOSPITAL  

2250 N. MIller Campus Drive
Lehi, UT 84043

385-531-1000

LAYTON PEDIATRIC ORTHOPEDICS

201 W Layton Pkwy  
Layton, UT 84041

801-546-8450

UTAH VALLEY OUTPATIENT CENTER

1157 N 300 W Ste 302
Provo, UT 85604

801-357-4470

ACL Tear Diagnosis

Your child’s health care provider will perform a physical exam of your child knee. In some cases, your provider may suggest tests such as an X-ray or MRI scan.

ACL Injury Treatments

ACL treatment options include both surgical and nonsurgical options. If your child’s knee is stable, your provider may recommend nonsurgical methods like RICE:

  • Rest

  • Ice

  • Compression

  • Elevation

RICE protocol helps control pain and swelling. You may need a knee brace to help immobilize your knee. Your provider may suggest physical therapy. Physical therapy can improve your child’s knee motion and strength.

Pediatric ACL Reconstruction

Young athletes will most likely need surgery to safely return to sports. The usual surgery for an ACL tear is an ACL reconstruction. ACL reconstruction tightens your knee and restores its stability. During surgery, your child’s surgeon replaces the torn ligament with a tissue graft. The surgeon gets a tissue graft from your knee or hamstring muscle.

After ACL surgery, you will start a rehabilitation program. Your program helps you resume a wider range of activities.

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