Clinical decision

    Shared decision for return to sport after ACL injury

    Connecting clinical data, tests, sports project, uncertainties and preferences into an explicit decision.

    Last updated

    Editorial responsibility : Content prepared and reviewed by the Kiné Genou Luxembourg editorial team.

    Safety guidepost

    This content is for information only and is not a diagnosis or personalised recommendation. It does not replace an examination by a doctor, surgeon, or physiotherapist. In an emergency or if symptoms worsen, contact a healthcare professional promptly.

    No single data point decides

    The discussion brings together knee condition, physical capacity, movement quality, psychology, recent load, position requirements, associated injuries and acceptable consequences of a return.

    The athlete must understand what is known, uncertain and not yet exposed.

    Clarifying who contributes what

    The physician assesses the clinical situation in particular; the physical therapist documents progression and function; the strength coach, trainer and club describe the actual demands; the athlete expresses their goals, constraints and fears.

    The conclusion may be a partial return with agreed limits, continued preparation or a re-evaluation.

    Frequently asked question

    Who gives the green light?

    Responsibilities depend on the care context and the sport. A quality decision crosses several perspectives and remains understood by the athlete.

    References

    1. Ardern CL et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy. Br J Sports Med.

      Accessed August 30, 2026

    2. Meredith SJ et al. Return to Sport After Anterior Cruciate Ligament Injury: Panther Symposium ACL Injury Return to Sport Consensus Group.

      Accessed August 30, 2026