Anterior cruciate ligament

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The anterior cruciate ligament (ACL) connects the femur (thigh bone) to the tibia (shin bone). It attaches from the posterior part of the inner surface of the lateral femoral condyle. It extends to the anterior intercondylar area of the tibia. The ACL runs diagonally through the center of the knee. It crosses in front of the posterior cruciate ligament (PCL). This forms a crisscross shape—hence the name “cruciate.”

The ACL prevents the tibia from sliding too far forward relative to the femur, known as anterior translation. It resists excessive rotational movements. This is crucial during activities like pivoting, jumping, and sudden stops or changes in direction. It also contributes to limiting hyperextension of the knee. Injury to the ACL is common in athletes. It can significantly impair movement and joint stability. Often, surgery and physical therapy are required for recovery.

Knee joint anatomy diagram featuring ligaments.
Knee joint anatomy diagram featuring ligaments.

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