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Bone & Eye CareKharadi, Pune

ACL & Ligament Injuries: Diagnosis & Treatment

Short answer: The anterior cruciate ligament (ACL) and other knee ligaments stabilise the joint during pivoting, jumping and sudden direction changes. Tears are common in sport and often need a structured treatment plan, including surgery in active individuals.

Orthopaedic examination of a young patient's knee for suspected ACL and ligament injury in Kharadi, Pune
Ligament injuries are confirmed with clinical tests and MRI.
Ligaments involved
ACL, PCL, MCL, LCL
Common cause
Sudden twisting, pivoting or direct impact to the knee
Main tests
Clinical stability tests, MRI
Definitive treatment
Arthroscopic ligament reconstruction for complete tears in active patients
Imaging on-site
Call the clinic on 070303 11311 to confirm on-site availability before your visit.

Overview

The knee is stabilised by four main ligaments: the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL) and lateral collateral ligament (LCL). The ACL is the most commonly injured, typically during sports involving sudden stops, pivots or jumps.

Ligament injuries are graded from mild sprains (Grade I) to complete tears (Grade III). The right treatment depends on which ligament is involved, the grade of injury, and the patient's activity level and goals.

Left untreated, a complete ACL tear can lead to recurrent knee instability and, over time, increase the risk of further cartilage and meniscus damage.

Symptoms

  • A popping sound or sensation at the time of injury
  • Immediate swelling within hours of the injury
  • Severe pain and difficulty bearing weight initially
  • A feeling of the knee 'giving way', especially when turning or pivoting
  • Reduced range of motion in the days following injury

Causes

  • Sudden change of direction while running
  • Landing awkwardly from a jump
  • Direct blow to the knee during contact sport
  • Sudden deceleration or pivoting on a planted foot
  • Road traffic accidents causing high-force knee trauma

Risk Factors

  • Participation in pivoting sports such as football, basketball or badminton
  • Previous ligament injury
  • Muscle imbalance or weak hamstring-to-quadriceps strength ratio
  • Poor landing or pivoting technique
  • Playing surface and footwear

When to See a Doctor

See an orthopaedic doctor promptly after any knee injury with a popping sensation, rapid swelling, or a feeling of instability, even if you are able to walk.

Early assessment helps confirm which ligament is affected and prevents further damage from continued activity on an unstable knee.

Diagnosis

  • Clinical examination with specific ligament stability tests
  • X-ray to rule out associated fractures
  • MRI to confirm the ligament involved, grade of tear, and any associated meniscus or cartilage injury

Treatment Options

Treatment depends on the ligament involved, grade of injury and the patient's activity demands.

  • Bracing, rest and physiotherapy for partial (Grade I–II) sprains, particularly of the MCL and LCL
  • Structured physiotherapy to strengthen surrounding muscles and improve stability
  • Arthroscopic ACL or PCL reconstruction using graft tissue for complete tears in active individuals
  • Combined repair when meniscus or cartilage injury is also present
  • Post-surgical rehabilitation program guiding a phased return to activity

Expected Outcomes

Partial ligament sprains generally heal well with conservative treatment. Complete ACL tears in active or sporting individuals generally require reconstruction for a stable knee; with structured rehabilitation, most patients return to their desired level of activity, though timelines vary by individual.

Why Choose Dr. Murkute's O2 Bone & Eye Care

  • Evaluation by Dr. Vishal Murkute, MBBS, DNB Orthopaedics, Diploma in Orthopaedics, fellowship-trained in joint replacement and arthroscopy
  • Accurate grading of ligament injury before deciding on treatment
  • Arthroscopic approach for ligament reconstruction where indicated
  • Structured rehabilitation guidance for safe return to sport

Questions patients ask

  • What is an ACL tear?

    The ACL is a key stabilising ligament inside the knee. A tear usually occurs during sudden twisting, pivoting or awkward landing, and can range from a partial sprain to a complete rupture.

  • Can an ACL tear heal without surgery?

    Partial sprains can improve with physiotherapy and bracing, but a complete ACL tear generally does not heal on its own and usually needs reconstruction in active individuals to restore knee stability.

  • How is an ACL injury diagnosed?

    Diagnosis is based on a clinical stability examination and confirmed with an MRI, which shows the exact ligament involved and any associated injury.

  • How long is recovery after ACL reconstruction?

    Recovery is a gradual, phased process guided by physiotherapy, with return to full sporting activity typically taking several months, depending on the individual and rehabilitation progress.

  • Which ligament injuries need surgery?

    Complete tears of the ACL or PCL in active individuals usually need surgical reconstruction, while many MCL and LCL sprains heal with bracing and physiotherapy.

  • Can I walk with a torn ACL?

    Some patients can walk on a torn ACL, but the knee often feels unstable, especially during turning or uneven surfaces, and continued activity risks further joint damage.

  • Where can I get ACL injury treatment in Kharadi, Pune?

    ACL and ligament injury evaluation and treatment are available at Dr. Murkute's O2 Bone & Eye Care, Office No. 18, 1st Floor, A Building, City Vista, Fountain Road, Kharadi, Pune 411014. Call 070303 11311 to book a consultation.

References

This page is general medical information reviewed by the treating specialist at Dr. Murkute's O2 Bone & Eye Care and is not a substitute for a personal consultation.

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Dr. Vishal I. Murkute, Consultant Orthopaedic, Arthroscopy & Joint Replacement Surgeon at Dr. Murkute's O2 Bone & Eye Care Clinic, Kharadi, Pune

Dr. Vishal I. Murkute

Consultant Orthopaedic, Arthroscopy & Joint Replacement Surgeon

Degrees
MBBS, D.Orth., DNB (Orth)
Fellowship
Fellowship in Joint Replacement Surgery · Fellowship in Arthroscopy & Sports Medicine
Registration
2004/03/1437
Experience
Overall experience since 1998 · Specialty practice since 2005

Areas of expertise

  • Knee & hip joint replacement
  • Arthroscopic (keyhole) surgery
  • ACL & ligament reconstruction
  • Sports injury management
  • Fracture & trauma care
  • Shoulder problems

Dr. Vishal I. Murkute is a Consultant Orthopaedic, Arthroscopy and Joint Replacement Surgeon at Dr. Murkute's O2 Bone & Eye Care Clinic, Kharadi, Pune. A medical graduate from Mahatma Gandhi Mission Medical College, Mumbai, he completed his DNB in Orthopaedics at Soundarapandian Bone and Joint Hospital and Research Center, Chennai. He pursued fellowship training in Joint Replacement at Shalby Hospital, Ahmedabad, and in Arthroscopy & Sports Medicine under Dr. Nicholas Antao in Mumbai. With overall medical experience since 1998 and specialty practice since 2005, he has performed numerous knee, hip and shoulder replacement surgeries, arthroscopic ligament and cartilage reconstructions, deformity corrections and complex trauma procedures. He is a life member of the Indian Orthopaedic Association and Pune Orthopaedic Society.

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Orthopaedics · 5 July 2026

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Dr. Dipti V. Murkute (Pansare)

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Dr. Murkute's O2 Bone & Eye Care Clinic in Kharadi, Pune

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Address
Office No. 18, 1st Floor, A Building, City Vista, Fountain Road, opposite Victorious Kids School, Ashoka Nagar, Kharadi, Pune, Maharashtra 411014
Opening hours

Monday – Saturday: 10:00 AM – 9:00 PM

Sunday: Closed

Landmark
Opposite Victorious Kids School, Fountain Road, City Vista
Parking
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Accessibility
Lift access to 1st floor
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Local access

Conveniently Located for Patients Across East Pune

Patients travel to the Kharadi clinic from surrounding neighbourhoods.

  • Kharadi
  • Viman Nagar
  • Wagholi
  • Chandan Nagar
  • Mundhwa
  • Kalyani Nagar
  • Hadapsar
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