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knee Anatomy Kersh itamp;#39;s the all-important ACL or anterior cruciate ligament the ACL is a two bundled ligament itamp;#39;s got a smaller and row medial and a larger posterolateral ligament thatamp;#39;s tight in extension hereamp;#39;s our ligament right here and this spot right here where it enters the femur is a critical position known as the over-the-top position the ACL comes down it slopes down obliquely from post rows superior to ant row inferior weamp;#39;ll see in the coronal projection looks a little bit like a waterslide and as it gets down more distally it starts to fan out and that fanning is normal the bundles of the ACL are arranged kind of like a celery stalk theyamp;#39;re mostly parallel and you know that the end of a piece of a celery does fan out on an MRI the upper portion of the ligament looks a little pinched but thatamp;#39;s rather artificial for when you look at it in the axial projection itamp;#39;s not quite as narrow now the functional ACL fibe
