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foreign hi Iamp;#39;m Jeff Berg Iamp;#39;ve been with Town Center orthopedics for 25 years I specialize in sports medicine I primarily take care of knee shoulder and elbow problems so the ACL is a ligament in the middle of your knee and it helps prevent instability in both the front and back Direction and in rotation and any injury to that ligament would be considered an ACL injury ACL injuries occur with pivoting and Landing injuries and since those activities are so common in sports then ACL injuries are common in sports however they can occur with any activities in which somebody jumps and lands or cuts and pivots such as jumping off a ladder or hiking avoiding ACL injuries can be difficult even professional Elite athletes who are in top shape and train all the time can tear their ACL however some things that might prevent injury and particularly ACL injuries is just staying in good shape we think that if somebody fatigues theyamp;#39;re more susceptible to injury and the