lindsey vonn

Doctors explain how Lindsey Vonn can ski at Olympics without use of ACL

One short week after Lindsey Vonn crashed in Crans-Montana, Switzerland, and tore her left anterior cruciate ligament, she was tearing down the hill in Cortina d’Ampezzo, Italy, a light knee brace warping the fabric of her racing suit the only obvious sign of anything amiss. When she finished the training run Friday, clocking the third-fastest time for a U.S. woman on the day, she casually fist bumped an American teammate at the finish line.

She made the feat look effortless. Sports medicine experts can say it’s anything but.

“It’s atypical to be able to compete without an ACL, at anything, but especially at a high level like Lindsey Vonn’s going to compete at,” said Clint Soppe, a board certified orthopedic surgeon and sports medicine specialist at Cedars-Sinai. “So this is very surprising news to me as well.”

The ACL, which connects the shin bone to the femur, is a main stabilizing force in the knee and protects the lower leg from sliding forward. Straight-line movement doesn’t stress the major knee ligament and some day-to-day tasks such as walking are easily accomplished without an ACL. But what Vonn is doing is far from normal.

“If you add cutting, pivoting, changing directions, in 95% of humans, you need an ACL to do that,” said Kevin Farmer, an orthopedic surgeon and professor at the University of Florida’s department of orthopedics and sports medicine. “She’s obviously fallen into that 5%.”

Farmer calls the rare group “copers.” They overcome the lack of an ACL by strengthening and engaging other muscles. It’s primarily the hamstrings and quadriceps, but everything, including the glutes, calves, hips and core, counts.

Vonn will have had just nine days between the Olympic downhill race and her injury when she stands at the start gate Sunday. But the 41-year-old has had her whole career to develop the type of strength and control necessary to carry her through the Games without an ACL. She’s already done it before.

Lindsey Vonn concentrates ahead of a downhill training run in Cortina d'Ampezzo on Friday.

Lindsey Vonn concentrates ahead of a downhill training run in Cortina d’Ampezzo on Friday.

(Marco Trovati / Associated Press)

Vonn skied on a torn right ACL for more than a month until withdrawing just before the 2014 Sochi Olympics. In 2019, she won a bronze medal at world championships without a lateral collateral ligament and three tibial fractures in her left knee. She said this week that the same knee feels better than it did during that bronze medal run.

“She’s dealt with knee injuries in this knee before, so she’s been able to develop mechanisms and strategies,” Farmer said. “She probably doesn’t even realize that, but just from years of practicing with a knee that’s not normal, her body has developed mechanisms of firing patterns that allow her knee to have some inherent stability that most people don’t have.”

For athletes who suffer major injuries for the first time, pain often prevents them from firing their muscles, said Jason Zaremski, a nonoperative musculoskeletal and sports medicine physician and clinical professor at the University of Florida’s department of physical medicine and rehabilitation. But Vonn, whose injury history is almost as long as her resume, looked calm during training, her coach Aksel Lund Svindal told reporters in Cortina on Saturday.

So even if she’s one ACL short, Vonn’s team knows she has more than enough of the intangibles to get her not only down the mountain, but into medal contention.

“Her mental strength,” Svindal told reporters in Cortina on Saturday. “I think that’s why she has won as much as she has.”

Vonn completed her second training run Saturday with the third-fastest time before training was suspended after 21 athletes. She was 0.37 second behind compatriot Breezy Johnson, who is intimately familiar with what Vonn is attempting.

Johnson, a medal contender for the United States who led the second training run at 1 minute and 37.91 seconds, attempted to ski in Cortina without an ACL in 2022. She had one successful training run, but crashed on the second one, sustaining further injuries that forced her to withdraw from the Beijing Olympics.

Johnson, like many, gasped when she saw Vonn’s knee buckle slightly on a jump during training Saturday. She said coming off jumps on this course are especially difficult.

“There are, I think, more athletes that ski without ACLs and with knee damage than maybe talk about it,” Johnson said at a news conference from Cortina. “… I think that people often are unwilling to talk about it because of judgment from the media and the outside.”

Critics say Vonn is taking a spot from a healthy teammate or that she simply refuses to give up the sport for good. But Vonn has already come to terms with the end of her career. She said she came out of retirement with a partially replaced right knee simply wanting an opportunity to put the perfect bow on her ski racing career at a course she especially loves.

The stage is different, but the sentiment is familiar to Zaremski. The doctor has worked with high school athletes who beg for a chance to play a final game after suffering a torn ACL. Through bracing, taping and treatment, sometimes there are temporary fixes for the biggest moments.

“If we’re trying to get a huge event like the Olympics, I would never put anything past [Vonn],” Zaremski said. “She’s an amazing, once-in-a-generation athlete.”

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Can Lindsey Vonn compete in Milan-Cortina Olympics with torn ACL?

A partial knee replacement in her right leg wasn’t enough to stop Lindsey Vonn from pursuing her Olympic comeback. Neither will a recent left torn anterior cruciate ligament.

Vonn revealed Tuesday she suffered a completely ruptured ACL in a crash last week but remains focused on racing in the Milan-Cortina Olympics.

“If my knee is not stable, I can’t compete and at the moment, it is stable and it is strong,” Vonn said during a virtual news conference from Cortina d’Ampezzo. “… So far so good but we have to take it day by day. But if it remains the way it is now, I think I’m pretty solid.”

The 41-year-old Vonn said she skied Tuesday to test her knee. She is not in any pain and the swelling has gone down, but with bone bruising and additional meniscus damage, she still has to tackle full-speed downhill training runs beginning on Thursday before the downhill competition starts Sunday.

Vonn, who also has hopes to race in the super-G and the team event, said her “intention is to race everything.”

“I am not letting this slip through my fingers,” she said. “I’m going to do it, end of story. I’m not letting myself go down that path. I’m not crying. My head is high, I’m standing tall and I’m going to do my best, whatever the result is.”

Vonn is no stranger to knee injuries. She retired from the sport in 2019 and underwent a partial knee replacement in April 2024. Since announcing her comeback in November 2024, Vonn has already defied expectations by becoming the oldest skier to win a World Cup race when she won at St. Moritz, Switzerland, in December and by making the Olympic team seven years after her retirement.

“I think if anyone can do it, it’s Lindsey,” U.S. teammate Bella Wright said of competing with a torn ACL. “I think we all know how strong of a skier she is, but I think that her mental game is what makes Lindsey Lindsey.”

Vonn was racing at a World Cup event Jan. 30 at Crans-Montana, Switzerland, when she lost control while attempting to land a jump. She slid into the safety netting and was later airlifted to a hospital. While a torn ACL typically sends athletes straight to the operating room, Vonn said surgery was not a discussion.

“The Olympics are the only thing that I’m thinking about,” Vonn said.

Despite the crash occurring so close to the Games, Vonn said her knee feels better now than when she has battled other injuries, including in 2019 when she competed at the world championships without a lateral collateral ligament and three tibial plateau fractures. She still won the bronze medal.

“I know what my chances [at the Olympics] were before the crash, and I know my chances aren’t the same as it stands today,” Vonn said, “but I know there’s still a chance and as long as there’s a chance, I will try.”

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Lindsey Vonn sits out race, coach says she is on track for Olympics

Lindsey Vonn sat out a World Cup super-G race Saturday after crashing and injuring her left knee a day earlier but remains on track for the Milan Cortina Olympics, her coach told the Associated Press.

“No she is not racing today but preparing for Cortina as usual,” Chris Knight, Vonn’s personal head coach, said in a text message to the AP.

Vonn then posted on Instagram, “Unfortunately, I won’t be able to race today,” adding, “Thank you for all of the love and support I have received. Means the world to me.

“Doing my best right now….,” Vonn concluded with praying hands and fingers-crossed emojis.

Vonn crashed in a downhill in Crans-Montana, Switzerland, on Friday and ended up in the safety nets. After skiing down to the bottom of the course, she was airlifted away for medical attention.

It still wasn’t clear what her injury was.

“I crashed today in the downhill race in Switzerland and injured my left knee. I am discussing the situation with my doctors and team and will continue to undergo further exams,” Vonn wrote on Instagram on Friday.

Vonn, a 41-year-old American, is expected to be one of the biggest stars of the Winter Games, which open next Friday. Her first race comes two days later in the women’s downhill.

Saturday’s super-G was slated to be her final race before the Games.

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Lindsey Vonn injures knee in downhill crash a week before Olympics

U.S. skiing great Lindsey Vonn says her “Olympic dream is not over” after crashing and injuring her knee during a downhill race that was meant to be her final warmup before the start of the Milan Cortina Games next week.

“I crashed today in the Downhill race in Switzerland and injured my left knee,” the 41-year-old former Olympic gold medalist posted Friday on her Instagram Story. “I am discussing the situation with my doctors and team and will continue to undergo further exams.

“This is a very difficult outcome one week before the Olympics… but if there’s one thing I know how to do, it’s a comeback.

“My Olympic dream is not over. Thank you all for all of the love and support. I will give more information when I have it. … It’s not over until it’s over.”

Taking part in a World Cup race in Crans Montana, Vonn lost control while attempting to land a jump on the upper portion of the course and slid into the safety netting. After receiving medical attention for about five minutes, Vonn slowly skied to the finish line, using her poles to support herself and stopping twice to clutch her knee.

She smiled and waved to the crowd after crossing the finish line and received a long embrace from teammate Jacqueline Wiles before entering the medical tent. She was later airlifted off the slope for further evaluation.

Vonn was the third skier to crash during the race, which was being held in difficult conditions with low visibility. The event was canceled after Vonn’s fall.

After nearly six years away from ski racing, Vonn made a comeback last year and has two victories and three additional podium finishes in five downhill races this season — all with a partial titanium implant in her right knee.

At the 2010 Vancouver Games, Vonn became the only U.S. woman to win Olympic gold in downhill skiing. She also won bronze medals in the super-G 2010 and downhill in 2018. On Dec. 23, Vonn announced on Instagram she had qualified for “my 5th and final Olympics!”

“When I made the decision to return to ski racing, I always had one eye on Cortina because it’s a place that is very, very special to me,” she wrote. “Although I can’t guarantee any outcomes, I can guarantee that I will give my absolute best every time l kick out of the starting gate. No matter how these games end up, I feel like I’ve already won.”

The opening ceremony for the Milan Cortina Games is Feb. 6. Vonn’s first scheduled event is the women’s downhill on Feb. 8. She had also planned on competing in the super-G and the new team combined event.

The Associated Press contributed to this report.



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