Anterior cruciate ligament (ACL) rupture is seen as a result of tibial rotational activity involving non-contact pivot shift mechanism and valgus movement, especially in high energy sports activities. ACL injuries occur due to many internal and external factors such as anatomical structural problems, sportive activity type, gender, muscle and neurological coordination problems, climatic conditions, field and ground problems, while some of these factors can be changed, most of them cannot be changed.