Understanding Different Types Of ACL Injury

Golden Clinics Blogs ACL Injury

There are various disorders that induce anterior cruciate ligament (ACL) instability in multiple degrees/ ways. Sprains, avulsion fractures, ACL deficits, and complicated ligament injuries are among them.

More than half of all ACL injuries are accompanied by damage to another portion of the knee, most commonly a ligament, articular cartilage (bone lining), or meniscus (cushion pad).

A comprehensive examination, X-rays, and magnetic resonance imaging can all be used by an ACL Specialist in Chandigarh to evaluate different types of ACL injuries (MRI).

Types of ACL Injury

Types of ACL Injury

Grade I ACL Sprain

Grade I sprain is the least severe of the several types of ACL Injury. Patients will have symptoms, but they are frequently treatable without surgery. When the ligament fibers are stretched but there is no tear, this form of ACL sprain occurs.

The knee will be stable for the most part. Tenderness, swelling, significant knee pain, and certain mobility limitations are all symptoms of a Grade I sprain. This type of injury can normally be treated with bed rest, anti-inflammatory medicines, crutches, and ice.

Grade II ACL Sprain

A Grade II sprain is an ACL injury in which the ligament fibers are partially ruptured. This type of injury occurs on rare occasions, however, most tears are complete. A Grade I sprain has the same symptoms as a Grade II sprain, but they are more severe.

Because some ligament fibers have been damaged, the joint may seem unstable or as if it will give out during any activity. Because the joint will feel stable in some circumstances, not all Grade II sprains will necessitate surgery.

Reconstruction of a partially torn ACL is determined by the patient's age, degree of activity, and sports or fitness goals, as well as the patient's symptoms. ACL reconstruction, whether partial or complete, is usually advised in situations of instability.

Grade III ACL Sprain

The most common types of ACL injuries among athletes are grade III sprains. This happens when the ligament fibers are entirely ripped. The ligament has fully broken apart into two portions, which is referred to as a rupture. A Grade III sprain usually has more severe symptoms and requires assistance from an Best ACL Surgeon in Chandigarh.

Swelling and soreness may occur right away, as well as acute knee pain and stiffness. A complete ACL tear can occur without pain, edema, or stiffness in a small percentage of cases.

The knee is almost usually unstable after a Grade III sprain. Once the full extension has been reached and the swelling has subsided, reconstructive surgery is usually recommended for this grade of injury.

ACL Avulsion Fracture

ACL Avulsion Fracture

ACL avulsion fractures are less common than ACL sprains, and they occur when the ACL tears by breaking a piece of bone off where the ligament connects to the thigh or leg. The tibia (leg bone) is usually impacted, which means the ACL tears by shattering (fracturing) a portion of bone where it joins to the shinbone

Excessive overuse and muscular contraction during sports are the most common causes. This form of injury can also be caused by direct trauma, such as a hit or a hard impact. ACL avulsion fractures are more common in children than adults, however, they can also happen to adults and are common among skiers.

ACL Deficient Knee

Deficient Knee

In most cases, knees without an anterior cruciate ligament are unstable, and this instability causes patients to experience undesirable, long-term discomfort. Knee buckling is the most common symptom, which occurs during sprinting and cutting movements, as well as walking downstairs and other everyday tasks.

In other circumstances, the patient has the impression that if he or she is not careful and attentive, the knee will buckle. While people with ACL deficiency can manage their symptoms by reducing their activity, this can lead to meniscus tears, cartilage degradation, and eventually the beginning and progression of osteoarthritis.

Buckling, the sensation of buckling or even micro-instability are the causes of these additional knee problems.

Complex and Multi-Ligament Knee Injuries

Knee Injuries

Other damage to the knee may occur in conjunction with an ACL injury. The ACL can be injured in conjunction with meniscus or cartilage injury. Damage to the ACL and another ligament is also possible.

When a traumatic incident is severe, multi-ligament injury is common. If it's suspected that the ACL, as well as another knee structure, has been injured, a complete examination by the Best ACL Surgeon in Chandigarh, as well as an X-ray and an MRI, is required. When several knee ligament injuries occur, dislocation or fracture of the knee might ensue.

To treat overlapping injuries, your doctor will need to conduct multi-ligament reconstruction surgery to repair damaged ligaments and grafts to replace ligaments and tendons that can't be salvaged.

Treatment for ACL Injuries

Treatment choices are determined by the patient's symptoms, assessment, remaining growth in the growth plates, kind of ligament damage, and sports and activity objectives.



For grade 1 injuries, nonsurgical therapy is the best option. Immobilization or bracing, physical therapy, and a gradual return to routine activities and sports are all options.


ACL Surgical

Individuals with a grade 3 or total ACL injury should seek surgical therapy. Surgical options may differ depending on the kind of ACL damage, whether the patient's growth plates are open or closed, and the type of ACL.


It might be tough to recover from ACL damage. This is especially true if the injury occurred while participating in daily or routine activity. It's vital to remember that your doctor's objective is to rebuild your ACL, thus therapy by ACL Specialist Chandigarh is crucial. Follow your rehabilitation plan to ensure healthy healing and the best chance of a complete recovery.

ACL injuries have been linked to the development of osteoarthritis or degenerative arthritis in the long run. Regardless of how the damage is treated, the outcome remains the same.

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