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my name is brian feely iamp;#39;m the chief of sports medicine and shoulder surgery at the university of california san francisco iamp;#39;d like to talk today about acl reconstruction iamp;#39;m going to go over the basics of acl injuries and the surgical procedure and this is primarily for patients and trainees either junior residents or medical students or people observing in the operating room iamp;#39;m going to go over how we evaluate for acl injuries what the history is what the differential diagnosis is what we look for on imaging iamp;#39;ll talk about how acl surgery is performed with a surgical video with some intraoperative technical tips and then finally iamp;#39;ll go over the rehabilitation and return to play protocols acl surgeries and acl injuries are extremely common approximately two hundred thousand people annually in the united states injured their acl and about three quarters of those will proceed to surgery most of the time patients will describe a traumati