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ACL Return to Sport

Updated August 17, 2026

Tool

Knee readiness check after ACL reconstruction

Nine criteria drawn from the return-to-sport literature, grouped the way a clinic groups them, with a printable summary and a shareable link at the end. It does not clear you to play. It tells you which conversation to have.

Nine criteria, checked honestly

Tick what is actually true today, not what you expect to be true next month. Nothing you enter leaves your browser, and the link at the bottom carries your answers so you can send this to your physical therapist.

Where these nine come from

They are the components that recur across the cohorts that actually reported outcomes: time since surgery, measured quadriceps and hamstring symmetry, hop test symmetry, a quiet joint with full motion, movement quality on landing, and psychological readiness. Each one carries the study it came from in its own hint text, and all of them are listed with PubMed identifiers on the sources page.

How to use the result

1

The print button produces a one-page summary with the header, footer and navigation stripped out. A clinician reading a list of nine criteria will get to the point faster than one listening to how your knee feels.

2

The copy button gives you a URL that carries your answers. Nothing is stored on a server; the answers are encoded in the link itself, which is why it works and why it is private.

3

Rerun it monthly

A single snapshot at month six is a lot of weight on one afternoon. Three runs at months five, seven and nine show you whether the gaps are closing, which is the more useful question.

4

Fix the unchecked boxes, do not argue with them

Every unchecked criterion is a measured deficit and a few weeks of specific work. None of them are permanent.

What this check is not

It is not clearance. Clearance is a clinical decision made by a physician, usually with a physical therapist and an athletic trainer, and it depends on things this page cannot see: what your surgeon found in your knee, whether your meniscus was repaired, your sport, your position and your age.

It also cannot promise anything, and the literature is clear about that. A meta-analysis of four studies found the pooled risk difference for passing return-to-sport criteria was -3% and not statistically significant, with 14.4% of those who passed still sustaining a second ACL injury, at very low quality of evidence. Meanwhile in the Delaware-Oslo cohort 38.2% of those who failed were reinjured against 5.6% of those who passed. Both of those are true. Checking nine boxes is how you find the deficits, not how you buy safety.

Questions people actually ask

Does this tell me if I can play?
No. It tells you which of nine criteria you currently meet and which you do not, so the clearance conversation starts from measurements instead of impressions. The decision belongs to a physician who can examine your knee.
Why is time since surgery one of the criteria?
Because it is the finding that holds up most consistently. Reinjury fell 51% for each month return was delayed up to nine months in the Delaware-Oslo cohort, and returning to knee-strenuous sport before nine months carried a hazard ratio of 6.7 in a Swedish registry cohort.
What if I meet eight of nine and the missing one is time?
Then your knee tests like a cleared knee and your calendar does not, and the tool says so explicitly. That is the single most common profile among people who get reinjured after passing testing.
Is anything I enter stored?
No. The calculation runs in your browser and the answers live in the page address, which is why the shareable link works. Close the tab and there is nothing left anywhere.