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causes ACL injury interior cruciate ligament injuries and specifically complete tears so thereamp;#39;s two methods one is through contact one is non-contact seventy percent of the time is going to be non-contact so you see these in footballers and soccer players and basketball players who essentially have a sudden decelerate deceleration in their legs and changes in directions so stopping and going like pivoting or cutting these kind of movement or if they land in a way that they rotate and bend their legs in a valgus way causing vulgar stress these can cause ACL injury contact would be direct blows that causes hyperextension or valgus deformations of your knees and usually when they happen you have a you hear audible pop and Rapid swelling of your legs often your legs are very unstable you canamp;#39;t walk on that leg and thatamp;#39;s generally how they present and it can also happen together with other ligament injury like MCO and meniscus injury as well