Background: For years, the rupture of the anterior cruciate ligament (ACL) has been a feared injury in young soccer players since it causes physiological and psychological changes while incurring significant economic losses. Methods: Through clinical research, understanding the mechanisms and identifying risk factors has enabled sports and performance professionals to establish robust models to predict and reduce the risk of ACL injury. Developments in medical devices also allow a more precise, more objective assessment and improve the traceability of the various quantitative and qualitative parameters necessary to detect the risk of ACL injury. Results: While general preventive protocols have shown evidence for an overall reduction in injury, there are still limitations regarding ACL injury. Therefore, we can collect personalized data from these models and the variables involved, predict, prevent, and program performance throughout the season. Additionally, the multi-professional team supervising the athlete must establish a close relationship centered on feeling and listening to the player who remains in control of his performance. Conclusion: Let the players decide on their career and not an injury.

Anterior Cruciate Ligament (ACL) tear is currently a main issue in all of sports communities. Although the number of ACL injuries in football remains low, it’s consequences on both professional and personal lives remain a major concern of rehabilitation. If practitioners often require more time to bring athletes in the best condition, the fact remains that this concept of time before return to sport is nowadays considered as obsolete. Indeed, the better understanding of the mechanisms of lesion and the strains placed on the graft after reconstruction, allow us to establish a personalized program based on clinical criteria and the patient's objectives. The current scientific literature allows us today to optimize the return to play and performance by the use of neuromotor and neurocognitive approaches, muscle strengthening methods and a preventive program necessary to cover the previous level of the players while taking into account physiological and psychological changes due to ACL reconstruction. Indeed, it is important to have a systemic approach centered on the patient, the sports movement, as close as possible to the field in order to find an optimal function of the knee in interaction with its environment.If there is a risk of reinjury of the ACL, it appears important to be able to identify the risk factors so that the player can return to play in optimal conditions.