Management of an acute complete ACL rupture using the Cross Bracing Protocol and progressive rehabilitation in a physically active adult: a case report

Abstract Background: The Cross Bracing Protocol (CBP) is an emerging nonoperative approach for acute anterior cruciate ligament (ACL) rupture, but detailed reporting of its integration with progressive rehabilitation in community-based physiotherapy is limited.

Objective

To describe the clinical implementation and outcomes of CBP followed by progressive rehabilitation in a physically active adult not participating in competitive sport. Case: A 41-year-old physically active woman sustained a complete proximal ACL rupture while recreational skiing. After discussion of the options, protocol burden, risks, and uncertainties, she chose CBP partly because magnetic resonance imaging (MRI) morphology was considered potentially suitable; specialist review was planned to guide continuation.