AMSSM Sports Medcasts The Cross Bracing Protocol with Dr. Tom Cross
Aug 22, 2025
Dr. Tom Cross, a seasoned sports medicine physician from the Stadion Clinic in Sydney, dives into the innovative Cross Bracing Protocol for ACL injuries. He shares insightful background on its origins and discusses criteria for selection and grading. The conversation flows into rehabilitation strategies, emphasizing non-surgical options and patient experiences, including young athletes. Future research directions for improving treatment outcomes are also explored, making a compelling case for collaboration in healthcare to treat ACL injuries effectively.
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Toby's Case Triggered Expansion
- Dr. Cross recounted treating Toby, a 16-year elite footballer with a 6 mm gap who healed and returned to sport, which compelled him to continue the approach.
- That success shifted practice from rare use to offering the protocol as an option for selected patients.
Evidence Level And Ongoing RCTs
- Dr. Cross acknowledged current evidence is level three and emphasized ongoing RCTs in Australia, New Zealand, and potentially the UK.
- He stressed the need for higher-quality evidence before widespread health-system adoption.
Selection Hinges On Patient And MRI
- Patient selection depends on both patient factors (age, sport, comorbidities, social context) and MRI pathology (gap, displacement, bone bruise, attachments).
- Success hinges on matching the right injury and patient to the cross-bracing protocol rather than treating all ACL ruptures the same.