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What is a Cruciate Ligament Tear? The cranial cruciate ligament (CCL) helps stabilize your dog’s knee. When it tears or ruptures, the knee becomes unstable, painful, and prone to arthritis if left untreated. In humans, ACL tears are usually acute, traumatic injuries, whereas dogs rarely tear this ligament from a single injury. In most cases, it’s a progressive condition caused by wear, genetics, and body mechanics.  Signs pet owners may notice: Limping or sudden lameness, ran