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Can athletes ACLs be trained to resist injury? A new study published in The American Journal of Sports Medicine suggests that its possible. Studies on animals have shown that exercise during growth periods like puberty can bulk up the ACL, increasing its size and improving its mechanical properties. However, evidence of so-called ACL hypertrophy in human athletes is scarce. To address this gap, researchers examined the knees of 52 athletes who had been skating or diving since before puberty or since puberty onset. These types of athletes always land or jump up using the same leg, which the researchers labeled as the dominant leg, and thus habitually load one knee more than the other while training for their sport. Specifically, the team compared ACL and patellar tendon dimensions and knee strength between the left and right knees. They also examined how differences in ACL dimensions between knees correlated with age at training onset and with the number of years of training.
