Reviews: Review ArticleManagement of Partial Tears of the Anterior Cruciate Ligament: A Review of the Anatomy, Diagnosis, and TreatmentStone, Austin V. MD, PhD; Marx, Sean MD; Conley, Caitlin W. PhD, ATCAuthor Information From the Division of Sports Medicine, Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, KY. Stone or an immediate family member serves as a consultant to AlloSource and Smith & Nephew; has received research support from Flexion Therapeutics and Smith & Nephew; serves as boards/committees to Arthroscopy Association of North America and American Orthopaedic Society for Sports Medicine. Conley or an immediate family member serves as boards/committees to the International Cartilage Research Society. Neither Marx nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article. Journal of the American Academy of Orthopaedic Surgeons: January 15, 2021 - Volume 29 - Issue 2 - p 60-70 doi: 10.5435/JAAOS-D-20-00242 Take the CME Test Metrics Abstract Partial anterior cruciate ligament (ACL) tears comprise an estimated 10% to 27% of isolated ACL injuries. Partial ACL tears may be challenging to clinically diagnose. We reviewed relevant studies focusing on the anatomy, diagnosis, imaging, and treatment of a partial injury with the goal of providing guidance to clinicians. Although a comprehensive patient history, thorough clinical examination, and imaging studies are helpful in arriving at a diagnosis, the benchmark for diagnosis remains visualization and examination of the ACL at the time of knee arthroscopy. Currently, limited data exist about the long-term outcomes of nonsurgical treatment. Some studies demonstrate that younger, active patients have the risk of progressing to a complete ACL rupture with conservative treatment. The decision to proceed with surgery is based on careful history and physical examination findings that suggest either a “functional” or “nonfunctional” ACL. Surgical treatment consists of augmenting the intact bundle with a selective bundle reconstruction versus a traditional ACL reconstruction. Selective bundle reconstruction has limited data available but is an option. The best evidence supports traditional ACL reconstruction for the surgical management of patients with documented nonfunctional partial tears of the ACL. Copyright 2020 by the American Academy of Orthopaedic Surgeons.