09/08/2026
The ACL is one of four main ligaments in the knee. It runs diagonally through the centre of the joint, connecting the femur to the tibia, and its job is to stop the shin bone sliding too far forward and to control rotation.
That last part explains something patients often find confusing. The ACL is not doing much when you walk in a straight line, which is why a torn one can feel almost normal once the initial swelling settles, then give way the moment you pivot or change direction.
Around 70 percent of ACL ruptures happen without any contact at all. A sudden stop, a twist on a planted foot, an awkward landing. Because the ligament sits alongside the menisci and the collateral ligaments, ACL tears frequently occur with damage to those structures too, which is part of why imaging matters.
A torn ACL has poor healing capacity and generally will not repair itself. That does not mean everyone needs surgery, but it does mean a knee that has given way or swelled rapidly after an injury is worth having assessed. Start with your GP, who can examine the knee, organise imaging and refer for specialist assessment if needed.
Dr Ryan du Sart consults regularly in Bunbury and Busselton, WA.