Quadriceps Tendon Autograft for ACL Reconstruction: What a Clinical Commentary on the Deep Myofascial Tissue Network Reports

Physical therapists and physical therapist assistants who treat patients before and after anterior cruciate ligament reconstruction, including those working in outpatient orthopaedics, sports rehabilitation, and return-to-sport programs.

Physical therapists (PT, DPT) and physical therapist assistants (PTA) in outpatient orthopaedic, sports, and post-surgical settings. Athletic trainers, occupational therapists, and rehabilitation students who participate in ACL reconstruction care may also find the material relevant.

Intended audience

Physical Therapy

Level

Intermediate

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

This course is based on a single clinical commentary: Nyland J, Lewis J, Richards J, Krupp R. The Deep Myofascial Tissue Network and the Quadriceps Femoris Tendon Autograft: A Clinical Commentary. JOSPT Open. 2026;4(3):254–263. Epub 25 March 2026. doi:10.2519/josptopen.2026.0184.

A clinical commentary is an expert synthesis of existing anatomical, imaging, histological, and outcomes literature rather than a new experiment. The authors state that the work was Institutional Review Board exempt, that no external funding was received, that no data are contained in the manuscript, that patients and the public were not involved, and that generative artificial intelligence was not used in the research or in preparing the manuscript. Every claim and number in this course traces to that article.

After completing this course, you will be able to:

1. Describe the deep myofascial tissue network as the commentary defines it, and explain how quadriceps tendon aponeurosis fusion points relate to it.
2. Name the structural differences the commentary reports between quadriceps tendon, hamstring tendon, and bone-patellar tendon-bone autografts, including harvest site healing and cutaneous numbness.
3. Distinguish what the commentary reports as established from what its authors identify as unresolved regarding quadriceps tendon harvest and post-reconstruction rehabilitation.

1. Start Here: how this course works
2. Podcast: The Quadriceps Tendon Autograft in Context (about nine minutes)
3. Why the Quadriceps Tendon Belongs to a Larger Fascial Network
4. How the Authors Built the Case: Dissection, Imaging, and Published Comparisons
5. Layers, Aponeurosis Fusion Points, and Where the Graft Is Taken From
6. Graft Dimensions, Harvest Site Healing, and Reported Clinical Outcomes
7. What the Commentary Cannot Answer and What It Means for Rehabilitation
8. Key Takeaways
9. Post-test and course evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 0.5 contact hours (30 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. This course is based on a single clinical commentary: Nyland J, Lewis J, Richards J, Krupp R. The Deep Myofascial Tissue Network and the Quadriceps Femoris Tendon Autograft: A Clinical Commentary. JOSPT Open. 2026;4(3):254–263. Epub 25 March 2026. doi:10.2519/josptopen.2026.0184.
2. A clinical commentary is an expert synthesis of existing anatomical, imaging, histological, and outcomes literature rather than a new experiment. The authors state that the work was Institutional Review Board exempt, that no external funding was received, that no data are contained in the manuscript, that patients and the public were not involved, and that generative artificial intelligence was not used in the research or in preparing the manuscript. Every claim and number in this course traces to that article.