Background: Accurate diagnosis of ACL injuries is essential to prevent further damage to other joint structures. Surgical management, primarily through ACL reconstruction, is considered the gold standard for patients with ACL. This systematic review aims to aims to provide a comprehensive analysis of current diagnostic techniques and surgical management options for ACL injuries based on the literatures of the last 10 years. Methods: The study adhered to PRISMA 2020 standards, examining English literature from 2014 to 2024. It excluded editorials, reviews from the same journal, and submissions without a DOI. PubMed, SagePub, SpringerLink, and Google Scholar were utilized as literature sources. Result: Initially retrieving 360 articles from online databases (PubMed, SagePub, SpringerLink and Google Scholar) eight relevant papers were selected after three rounds of screening for full-text analysis. Conclusion: Diagnosis and management of ACL injuries are challenging. Early diagnosis and effective treatment strategies, including innovative surgical techniques, are essential to improve patient outcomes and reduce the risk of long-term complications in ACL injury management.