Evidence map›Paper›PMID 40190967›Full record

ArticleCureus2025

A Rare Case of Spontaneous Healing of an Anterior Cruciate Ligament Tear.

Daniel R Baka, Erastus Thuo, Veniamin Barshay, Dug Su Yun

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Daniel R BakaOrthopaedics, Cooper University Hospital, Camden, USA.
Erastus ThuoOrthopaedics, Cooper University Hospital, Camden, USA.
Veniamin BarshayRadiology, Cooper University Hospital, Camden, USA.
Dug Su YunSports Medicine, Cooper University Hospital, Camden, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior cruciate ligament (ACL) injuries are among the most common knee injuries in the United States. The ACL is an intra-articular ligament that resists anterior tibial translation and provides rotational stability. Most ACL injuries occur through non-contact mechanisms and are typically diagnosed based on history, physical examination, and confirmatory MRI. Treatment options include operative and non-operative management, with the latter focusing on restoring functional stability rather than expecting the ACL to heal spontaneously. In this case report, we present a 33-year-old female patient with a sedentary lifestyle who experienced a popping sensation and immediate swelling after twisting her knee while sitting down. She presented to the clinic one week later, reporting knee instability and a dull, aching pain rated 7/10. Physical examination revealed pain with passive knee extension and positive patellar compression, Clarke's inhibition, McMurray's, and Lachman's tests. MRI confirmed a complete ACL tear and a full-thickness cartilage defect in the medial facet of the patella. The patient opted for non-operative treatment, including a crossover knee brace and physical therapy. Over multiple follow-up visits, her range of motion and pain improved. Eleven months post-injury, a follow-up MRI ordered to evaluate a suspected reinjury unexpectedly revealed a completely intact ACL, indicating spontaneous healing. This case highlights a rare instance of spontaneous ACL healing in a sedentary adult who chose conservative management. Although non-operative therapy typically aims to restore function rather than facilitate ligament healing, emerging evidence suggests spontaneous ACL healing is possible, particularly in proximal femoral single-bundle tears. Further research is needed to establish standardized conservative treatment protocols that optimize outcomes and promote ACL regeneration.

Indexed as

acl injuriesacl tearanterior cruciate ligament (acl)conservative therapyspontaneous healing

Identifiers

PMID40190967
PMCPMC11972121

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.