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Important information for patients - Dr. Capeci and RYC Orthopaedics have moved into a beautiful new office on the Upper East Side. The new office is located at 55 East 86th Street, #1A, New York, NY 10028. The phone number is 212-348-3636; all prior phone and fax numbers will continue to work as well. Dr. Capeci will be seeing patients exclusively in this location and his office hours will continue to be on Tuesdays and Thursdays, replacing both prior locations. Please pardon our appearance and any confusion that comes with this transition. Please call the office with any questions or concerns. Dr. Capeci looks forward to welcoming you to our new space! Thank you.

What is the ACL?

The anterior cruciate ligament (ACL) is one of the major ligaments of the knee. It is located in the middle of the knee and runs from the femur (thighbone) to the tibia (shinbone). The ACL prevents the tibia from sliding out in front of the femur. Together with the posterior cruciate ligament (PCL), it provides rotational stability to the knee.

Causes of ACL Tears

An ACL injury is a sports-related injury that occurs when the knee is forcefully twisted or hyperextended. An ACL tear usually occurs with an abrupt directional change when the foot is fixed on the ground or when the deceleration force crosses the knee. Changing direction rapidly, stopping suddenly, slowing down while running, landing from a jump incorrectly, and direct contact or collision, such as a football tackle can also cause injury to the ACL.

Symptoms of ACL Tears

When you injure your ACL, you may hear a pop sound and may feel as though the knee has given way. Within the first two hours after injury, your knee will swell and you may have a buckling sensation in the knee during twisting movements.

Diagnosis of ACL Tears

The diagnosis of an ACL tear is made by reviewing your symptoms and medical history and performing a physical examination of the knee. Other diagnostic tests such as X-rays, MRI scans, stress tests of the ligament and arthroscopy may also be ordered.

Treatment of ACL Tears

Treatment options include both non-surgical and surgical methods. If the overall stability of the knee is intact, your doctor may recommend non-surgical methods. Non-surgical treatment consists of rest, ice, compression and elevation (RICE protocol); all of these assists in controlling pain and swelling. Physical therapy may be recommended to improve knee motion and strength. A knee brace may be needed to help immobilize your knee.

Young athletes involved in pivoting sports will most likely require surgery to safely return to sports. The usual surgery for an ACL tear is an ACL reconstruction which tightens your knee and restores its stability. Surgery to reconstruct an ACL is performed with an arthroscope, using small incisions. During the surgery, your doctor will replace the torn ligament with a tissue graft that can be obtained from your knee (patellar tendon) or hamstring muscle.

Following ACL reconstruction, a rehabilitation program is started to help you resume a wider range of activities.