Did you just hear a pop in your knee? Did your knee give way during sport? You may have an ACL tear — the most common serious knee injury in active individuals and athletes. Getting the right diagnosis quickly, and the right treatment for your grade of injury, is everything.
Dr. Harish Talreja is an experienced orthopaedic specialist in Jaipur providing accurate ACL tear diagnosis, MRI assessment, and personalised treatment — from physiotherapy-based rehabilitation for partial tears to arthroscopic ACL reconstruction for complete Grade 3 tears in active patients.
Early assessment determines whether an ACL tear requires surgery. Untreated complete ACL tears lead to repeated instability episodes that progressively damage the meniscus and cartilage — making future surgery more complex and outcomes less predictable.
ACL injuries are classified into three grades based on the extent of ligament damage. Your grade determines your treatment options — and whether surgery is likely to be recommended. MRI is required for accurate grading.
The ACL fibres are overstretched but remain structurally intact. No macroscopic tearing. The ligament retains its tensile strength and the knee remains stable.
Some but not all ACL fibres are torn. The ligament is weakened but maintains some continuity. The knee may feel partially unstable with certain movements.
The ACL is completely torn into two separate pieces. The knee has lost its primary stabiliser against anterior and rotational forces — causing significant instability.
The actions you take immediately after the injury significantly affect the severity of swelling, pain and recovery. Follow the RICE protocol until you can see an orthopaedic specialist.
Begin immediately after injury. These steps reduce swelling, prevent further damage, and create the best conditions for your specialist assessment.
Stop the activity immediately. Do not attempt to continue playing. Use crutches if weight bearing is painful — do not force yourself to walk normally.
Apply ice (wrapped in a cloth — never directly on skin) for 15 to 20 minutes every 2 to 3 hours. Reduces swelling, pain and muscle spasm in the first 48 hours.
Apply a compression bandage or knee sleeve from mid-calf to mid-thigh to minimise swelling. Not so tight as to restrict circulation.
Keep the knee elevated above heart level when resting — lying down with the leg propped on pillows. Helps drain swelling from the joint through gravity.
Accurate diagnosis requires both clinical examination and MRI. Clinical tests detect instability and suggest an ACL tear — but MRI confirms the diagnosis, grades the tear, and identifies associated injuries that must be addressed.
With the knee at 20–30° flexion, the tibia is pulled forward on the femur. An ACL tear produces an abnormal "mushy" end feel and forward tibial translation greater than 5 mm — the most sensitive clinical test for ACL injury.
The tibia is internally rotated and a valgus force applied while extending the knee. A positive pivot shift — a visible "clunk" or "giving way" — confirms rotational ACL instability that causes the functional instability symptoms patients report.
With knee at 90° flexion, the tibia is pulled forward. Less sensitive than the Lachman test but useful as part of a complete clinical examination. Limited in acute injury due to hamstring muscle guarding.
Clinical tests confirm instability but cannot grade the tear or detect associated injuries. MRI is mandatory before any treatment decision.
ACL tears predominantly occur in sports requiring sudden pivoting, cutting, jumping or direction change. These are the highest risk activities for ACL injury in the Indian sports context.
Highest ACL rate overall — pivoting, tackling
Diving, sudden direction changes while fielding
Rapid court changes, lunging, lateral cuts
Contact tackles, direction changes, pivoting
Jump landings, cutting, direction changes
Landing mechanics, hyperextension risk
ACL tears are 4 to 6 times more common in female athletes due to anatomical differences in knee alignment, quadriceps angle (Q-angle), and hormonal factors affecting ligament laxity.
The right treatment depends on your grade of tear, age, activity level, and how much instability you experience. Dr. Talreja uses all available information to recommend the most appropriate approach for each individual.
Use these factors to understand what treatment is likely to be recommended — your orthopaedic specialist will make the final recommendation after clinical assessment and MRI review.
The AI overview showed ₹80,000 to ₹2,50,000+ as the range. Here is a more detailed breakdown to help patients plan their treatment and financial options.
Costs depend on treatment approach, implant type, hospital facility and whether additional procedures are required.
Dr. Harish Talreja provides the complete ACL care pathway — from accurate MRI-based diagnosis and grading, through honest treatment decision guidance, to arthroscopic reconstruction and a 6 to 9 month return-to-sport rehabilitation programme.
Arthroscopic Procedures
Years Experience
Return to Sport Rate
Book a consultation with Dr. Harish Talreja — Jaipur's experienced ACL specialist — for an accurate MRI assessment and a clear, honest treatment plan tailored to your injury and your goals.
Shop No. 2/34, A Block
Vaishali Estate Township, Gandhi Path West
Jaipur – 302021
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