Long-term risks of ACL injuries include increased risk of recurrence, especially if neuromuscular deficits are unaddressed. There is also a higher risk of knee osteoarthritis, 1 as early-onset degenerative changes are common post-ACL injury.
Clinical Takeaways
Address both neurological and musculoskeletal aspects in rehab.
Emphasize early proprioceptive and neuromuscular retraining.
Monitor and correct gait mechanics.
Ensure strength parity before return to training decisions.
ACL injuries go far beyond ligament damage. The neurological, muscular, and biomechanical disruptions underscore the need for comprehensive, evidence-based rehabilitation. Understanding the full scope of the injury is key to optimizing recovery and preventing long-term consequences.
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