Skip to main content
ACL Return to Sport
About this site

Updated August 17, 2026

About

About this site

Who writes it, how the numbers get on the page, and what we do when the studies disagree.

Why it exists

There are two kinds of ACL content in English. Clinic pages, which are short, cautious and end with a phone number. And content farms, which are long, confident and wrong about numbers in a way that is hard to catch unless you go read the study.

This site is the third thing: the actual figures from the actual cohorts, with the identifier so you can check, written for the person doing the rehab rather than for the person billing it.

How a number gets onto a page

  1. Step 1

    Primary source only

    Every figure comes from the study abstract or the official document, read directly. No figure is taken from another website's summary of a study.

  2. Step 2

    Written with its context

    A hazard ratio without the population is decoration. Cohort size, age range and sport level travel with the number.

  3. Step 3

    Counter-evidence included

    When a meta-analysis contradicts a popular threshold, it goes on the page next to the threshold, not in a footnote. The clearest example is Losciale 2019 on return-to-sport criteria.

  4. Step 4

    Listed on the sources page

    Every study cited anywhere on the site appears on the sources page with its journal, year and PubMed ID. The list is generated from the same table the pages draw from, so it cannot drift out of sync.

What we could not verify, and therefore did not publish

Three figures that appear on almost every American ACL page are missing from this one, on purpose:

  • An average billed cost for ACL reconstruction. The numbers in circulation come from commercial aggregators with no published methodology. Instead we explain the mechanism and send you to your hospital's own machine-readable price file and your plan's allowed amount.
  • An average employer-plan deductible. The page usually cited for it no longer resolves. Your own plan documents beat any national average anyway.
  • A single ACL-RSI cut-off for everyone. The often-quoted threshold comes from a study of patients 20 and younger, where a score under 76.7 at 12 months flagged 90% of those who went on to a second injury. In older patients the same study found no difference. We report it that way.

Who publishes it

STRATINET SARL, a French company registered in Cannes (RCS Cannes 944 837 871), which also builds the recovery tracker the waitlist is for. We publish in English for a United States audience because that is where the insurance mechanics, the athletic training structure and the return-to-play paperwork described here apply.

Corrections, disagreements and missing studies: [email protected]. If you send us a study that contradicts something here, we will either put it on the page or explain why not.

References cited on this page

Every figure on this page comes from one of the publications below. The level of evidence is stated: a national guideline, a meta-analysis and a case series do not carry the same weight.

  • McPherson AL, Feller JA, Hewett TE, Webster KE. Psychological readiness to return to sport is associated with second anterior cruciate ligament injuries. American Journal of Sports Medicine, 2019;47(4):857-862. PubMed 30753794. 329 patients back in sport, ACL-RSI score.
  • Losciale JM, Zdeb RM, Ledbetter L, Reiman MP, Sell TC. The association between passing return-to-sport criteria and second anterior cruciate ligament injury risk: a systematic review with meta-analysis. Journal of Orthopaedic and Sports Physical Therapy, 2019;49(2):43-54. PubMed 30501385. Systematic review, 4 studies, meta-analysis.
  • Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. British Journal of Sports Medicine, 2016;50(13):804-808. PubMed 27162233. 106 pivoting-sport patients, prospective two-year cohort.

See the full bibliography

Recovery tracking app

Where does your knee actually stand?

ACL Return to Sport plots the numbers this page keeps pointing at: your strength figures, your four hop tests, your ACL-RSI and your effusion grade, against the thresholds, from week one to two years. One email address, two messages at most before launch.

Join the waitlist