The incidence of anterior cruciate ligament reconstruction (ACL-R) has increased in recent years. ACL-R plays an important role in the prevention of secondary osteoarthritis from resultant joint instability. Magnetic resonance imaging is the preferred modality in the evaluation of ACL-R complications. Complications after ACL-R may be broadly characterized as those resulting in decreased range of motion (arthrofibrosis, impingement) and resulting in increased laxity (graft disruption). Other miscellaneous complications that do not fall into these categories will also be discussed in this article.