On January 30, just one week before the opening ceremonies of the 2026 Olympic Winter Games, skier Lindsey Vonn crashed in her final training run, rupturing the ACL in her left knee. While we may normally associate such injuries with recovery timelines of up to a year, Vonn \u2014 who is 41 and came out of retirement for these Games \u2014 has promised to compete through the injury in what will almost certainly be her final chance at Olympic glory.<\/p>\n
Robin Queen<\/a>, a Virginia Tech professor of biomedical engineering, explains that, while possible, there are several major challenges Vonn must overcome. The ACL, or anterior cruciate ligament, runs diagonally, front to back, between the tibia (shin bone) and femur (thigh bone), helping to stabilize the knee. \u201cThe ACL is particularly important for stabilization when someone is pivoting or twisting and when they are landing from a jump or out of the air,\u201d explains Queen, describing a set of motions and actions common in downhill skiing.<\/p>\n While she has not personally seen an athlete attempt to compete through such an injury, Queen says there have been elite athletes in other sports, like American football and basketball, who have continued to play fairly quickly following an ACL rupture before the ligament is reconstructed. \u201cWhile this is uncommon, it is possible. It is important that she does not have a lot of swelling and feels that her knee is stable when she is skiing,\u201d says Queen.<\/p>\n Queen says that most often, when an athlete decides to continue participating in sport without or before having the ACL reconstructed, they will wear a functional knee brace that can help to provide external stability to the knee since the ACL is not able to do that work. Additionally, high-performance athletes like Vonn, who tend to have better body awareness, can use the muscles surrounding the knee, specifically the hamstrings, to help with stabilization. But there\u2019s a difference between being able to put on her boots and being able to compete at the pinnacle of the sport.<\/p>\n \u201cIt is important to understand that there is a mental aspect to her being able to ski, and ski well,\u201d says Queen. \u201cOften following an ACL rupture, there is a greater fear of movement and a fear of reinjury, so she will be managing the typical physical and mental demands of competing at an elite level while also potentially worrying about the stability of her knee and how it will feel while she is competing.\u201d<\/p>\n