Background: Sports injuries are common injuries resulting Anterior Cruciate ligament and associated injuries. The primary goal of this study was to determine the prevalence of concurrent knee injuries linked to ACL tears in athletes.Material and Methods: A prospective observational study was undertaken in department of Orthopaedics of a tertiary care centre. This study was undertaken among 100 cases treated at Jehangir hospital, Pune with knee injuries associated with ACL tear during sports. All the cases underwent thorough clinical examination and radiological assessment including X ray and MRI. Diagnostic arthroscopy was also performed and clinic – radiological findings were confirmed and final diagnosis was made.Results: Most common age group affected was 20 - 30 years with a mean age of 25.09 years. The male to female ratio was 1.56:1. Left knee was affected in more than half of the cases. About 70% of the cases had ACL associated injuries. Most common sports leading ACL injury was football. Meniscal injury was most common ACL associated injury in more than half of the cases. Other associated injuries included PCL tear, Osterochondral lesion, PLC injuries and bony fracture.Conclusion: This study had shown that, meniscal injury was the most common associated injury of ACL in sports persons.