The anterior cruciate ligament ("ACL") is an important, internal, stabilizer of the knee joint, restraining hyperextension. It is injured when its biomechanical limits are exceeded (over stretched), often with a hyperextension mechanism. Though clinical examination in experienced hands can be accurate, the diagnosis is usually confirmed by MRI, which has greatly lessened the need for diagnostic arthroscopy and which has a higher accuracy than clinical examination. It may also permit visualization of other structures which may have been coincidentally involved, such as a meniscus, or collateral ligament, or posterolateral corner of the knee joint.