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so what is the mechanism of injury with an ACL typically itamp;#39;s always stopping and cutting and what happens then is that the ACL which goes through the middle of the knee goes through this small notch and as you cut it gets peeled from the edge of the femur and so thatamp;#39;s how it tears typically tears from the femur only tears down distally downward attaches to the shin bone if you have a bad hyperextension injury and then generally tear other ligaments as well