Anterior cruciate ligament at a glance
- Also called
- ACL
- What it is
- The anterior cruciate ligament (ACL) is one of the two cruciate ligaments in the middle of the knee. It stops the tibia from sliding forward on the femur.
- Location
- It attaches to the anterior intercondylar area of the tibia, where it blends with the medial meniscus, and runs upward and backward to the femur in the intercondylar fossa. It crosses the posterior cruciate ligament, which is what cruciate (cross-shaped) refers to.
- Function
- It prevents anterior dislocation of the tibia on the femur.
- Body system
- Skeletal · paired (left and right)
- FMA ID
- FMA44614 (Foundational Model of Anatomy)
Key facts
- A tear can follow hyperextension of the knee or a large force on the back of a partly flexed knee.
- The anterior drawer test checks it: if the tibia can be pulled forward on the femur, the ligament is torn.
- On MRI with the knee nearly straight it rises at about 51° (51.2 ± 3.4° in 70 knees). In this 3D model it rises at only about 30°, because the BodyParts3D femur, a simplified mesh, has a shallow intercondylar notch.
Clinical relevance
With the tibial collateral ligament and the medial meniscus it makes up the unhappy triad, injured together by a force on the outside of an extended knee, as in a rugby tackle.
Structures next to the anterior cruciate ligament
The nearest named structures in the 3D model, measured from the centre of each part:
- Femur · skeletal
- Tibia · skeletal
- Lateral meniscus · skeletal
- Medial meniscus · skeletal
- Posterior cruciate ligament · skeletal
- Plantaris · muscular
- Popliteal vein · cardiovascular
- Rectus femoris · muscular
- Popliteal artery · cardiovascular
- Patella · skeletal
References
- Foundational Model of Anatomy: Anterior cruciate ligament (FMA44614). EMBL-EBI Ontology Lookup Service.
- TeachMeAnatomy. The Knee Joint.
- Raja B.S. et al. (2020). Assessment of anterior cruciate ligament tibial footprint sagittal diameter and orientation of the ligament: an MRI analysis. Cureus.
- OpenStax. Anatomy and Physiology 2e, §7.1 Divisions of the Skeletal System. Rice University, 2022.
- Mitsuhashi N. et al. (2009). BodyParts3D: 3D structure database for anatomical concepts. Nucleic Acids Research 37, D782–D785. Data © The Database Center for Life Science, CC BY 4.0.
- Browne K., Schlehlein H. (2026). 3D Reference Organ Set for Male, v1.10 (Visible Human Male). Human Reference Atlas 3D Reference Object Library, HuBMAP / NIH. CC BY 4.0.
Related anatomy
Explore the whole body in the interactive 3D human anatomy model, or browse the A–Z list of human structures.