I looked this up online after I first watched the film, and confirmed it by reading the book - in reality I think it was initially diagnosed as a sprained ligament and he was given the choice between having an operation/further tests immediately or playing in a knee brace for the rest of the season. He opted for the knee brace because he felt he couldn't afford to not play. One game during the regular season, when Permian were thrashing an opponent, he came on and actually managed to score a couple of TDs even with the brace.
And he didn't break down on the field and have no choice but to stop playing as shown in the film. In reality (or at least in the book) he was so disappointed to not start the big game against Midland that he quit the team. And it was only when he went for surgery that it was confirmed as a tear, which made it a wonder that he was able to train or play at all as it was the ligament that allowed for sharp stopping or change of direction
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