Dr. Robert Litchfield, medical director of the Fowler Kennedy Sport Medicine Clinic at the University of Western Ontario and part of the Canadian Alpine Ski Team medical group, studied videotape of ACL injuries and found a pattern. He found that those who tore their ACLs all did the exact same thing with their legs when they were avoiding a defender or reacting to an offensive player. “They throw it [the injured limb] out to the side, and they try to make an upper-body move where they move away from the side that they’ve just planted,” he says. “And they get to what we call a `point of no return.'” The knee misaligns, turns inward, and the athlete lands knock-kneed. That is when you hear the pop. That is why, Dr. Litchfield believes, an athlete like LeBron James will never suffer a tear. “When he comes down from a dunk, he comes down very low and powerfully versus coming down on an extended leg.” In short, LeBron’s legs are bowed, and athletes who bow their legs generally don’t tear their ACLs.
The problem is that athletes in the heat of battle seldom think about how they plant or land. They just do it. And when they do, and their ACL tears, they are basically screwed.