Injury + Identity
This infamous sound is becoming more common in high school sports, though many are still unaware of its impacts physically and mentally.
The anterior cruciate ligament, also known as the ACL, is the most important stabilizing ligament in your knee and is often marked by a prominent pop when torn.
Most ACLs are torn during pivoting or jumping motions, largely due to the fact that the ACL’s job is to keep the knee in place during front-to-back motions and rotation. The injury rate for torn ACLs peaks in the high school age range, with 25% of all tears happening to teens under 18.
This is a prevalent trend we have seen in our own school.
Senior lacrosse player Tessa Fowler has torn both of her ACLs.
“I tore my second ACL the same way I tore the first,” Tessa said. “I was stepping up to defend a girl on the other team, and she didn’t catch the ball. The ball went to the right, and I was trying to step forward, but my quad didn’t fully load. I heard a pop again.”
After tearing his ACL his junior year, lacrosse player Matthew Evans had to sit out the entire season. Soccer and lacrosse player Gianna Gustafson tore her ACL and meniscus in a soccer game in August 2025.
“I basically jumped up for a ball that was bouncing,” Gianna recalled. “I landed, and I took a step with my right leg when I heard two big pops. It was very painful. I went down, and I knew right away”
Emily Christensen, a soccer player in her junior year at Judge, has torn both of her ACLs in the past three years, tearing her first ACL at just 14 years old at a soccer showcase in Texas and two years later in Las Vegas during a soccer tournament.
“I tore my right ACL and both sides of my meniscus, and then I tore my medial meniscus on my right side again,” Emily said. “And then I tore my left ACL and both sides of my meniscus and then my medial meniscus on my left side didn’t heal so I had to get surgery on that again.”
When Emily tore her other ACL, she knew what was ahead.
“I knew exactly what it was, because I’d done it before. I was pretty hysterical. It’s a lot, because you know exactly what you have to go through again, which is pretty tough.”
For these athletes, it’s been a long road to recovery filled with all kinds of highs and lows.
“I’m doing everything in my power to be ready for my senior year,” Matthew said. “It’s been nice to have the goals and the deadlines pass by, getting to be able to walk again and not have to use the crutches, and then getting the brace off was great.”
“I just take it one day at a time, just keep going because it’s just a long process,” he said. “No matter what, they make you wait nine months. So just you gotta keep going. If you do your stuff every day, by the time that nine months gets passed, you’ll be ready to go.”
Tessa Fowler remembers doing everything she could to make the best of a bad situation, specifically by finding new creative outlets and by staying involved with her teams.
“I really focused on doing the little things that I could and staying involved with the sport, so I helped coach the younger youth teams,” Tessa said. “My advice for people going through the same thing is stay involved. Find other things that you are passionate about. Try something new, because that really helps.”
“I found interest in the science part of injury and recovery, especially in women, because they’re not researched as much.”
Research has shown that the ACL tear rate in teenagers is swiftly on the rise, specifically for young women.
Female athletes are more likely to tear their ACL as male athletes, and the number can reach up to eight times more likely, often due to differences in the knee structure and muscle building.
Different quad-to-hamstring ratios and alignment differences compared to men can account for the higher ACL tear numbers in women.
Alyssa Hunt from the Loma Linda University of Health found that ACL tears account for 14% of all injuries in teen athletes and 4% of all professional athletes. The injury is most common in non-contact cutting or pivoting movements, especially in sports such as soccer, skiing, football, and basketball.
Hunt found that nearly a third of preteen and teen soccer players will sustain an ACL tear.
The physical recovery process for an ACL tear typically spans about nine months to a year, but the mental side of recovery is often a different story.
Around 30-45% of injured teen athletes report symptoms of depression or anxiety during recovery, and the fear of re-tearing (kinesiophobia) is one of, if not the biggest, psychological block for returning to the sport. These barriers can last for years after recovery, but injured teens who received therapy and mental health support were shown to recover significantly faster in the physical and mental health departments.
The Omaha Physical Therapy Institute found the best ways to lighten the mental impacts include limiting yourself to realistic expectations, having a strong support system, and receiving physical and mental therapy.
“The hardest part was the state championship game last year,” Matthew said. “I was there, but I couldn’t play, which was tough. It’s nice to be with the team, but you don’t really feel like you’re a part of it. I think the hardest thing with the mental health is when you see all your friends doing the stuff that you like to do.”
According to these athletes, physically recovering from the injury is only half of the process. Overcoming the mental challenges might be the hardest part.
Judge’s athletic trainer, Jenny Nolan, believes that one of the best things you can have is a strong support system.
“You need to make sure you have people around you who can support you and be there when you have those low moments, but also be there when you have those great successes.”
She said that it is important to have a determined mindset, that it is a long-haul rehab, and that being persistent and committed is key to recovery.
“My mental health. It’s doing okay,” Gianna said. “I’m just telling myself that you’re going to get through it, and it’s going to be fine. My passion is definitely still there, and I am excited to be back on the field.”
The top three pieces of advice from these athletes are to take it one day at a time, never compare your journey to anyone else’s, and to find other passions that interest you.
After tearing her first ACL, Tessa learned how to play the bass guitar, and it became a hobby that carried her through both tears and recoveries.
Emily noted that throughout her injuries, she found an interest in the medical field and hopes to become an orthopaedic surgeon to one day help those who are going through the same experiences she went through.
A torn ACL is not the end of anyone’s journey. In fact, it can teach valuable lessons about perseverance and can open up new paths to follow.
Senior night is often a special time for seniors, but for Tessa Fowler and Matthew Evans it was especially memorable.
Tessa came back from her second ACL tear just in time for her last high school lacrosse season.Â
After missing the first several games of this season due to a lack of confidence in her knee, Tessa ended up making Second Team All Region, racking up 28 goals and 13 assists through 12 games.Â
“Take it one day at a time,” Tessa said “because you don’t know what is going to happen tomorrow. And what happened yesterday was yesterday.”
Boys lacrosse player, Matthew Evans, after tearing his ACL eleven months prior, was also back on the field and hearing his name over the loudspeakers once again.Â
“My favorite moment since coming back was being able to start every game, to go out there and hear them read my name in the starting lineups, knowing that I’m back out there playing again.”Â
“The biggest thing that I learned is that you can do hard things,” Matthew said.Â
 “The good news is you’ll always have people there to support you. The people in your life who you can trust and who are going to be there for you will always be there.”
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