MD 53 begins at an intersection with US 220 in Cresaptown. Winchester Road continues south as a county-maintained highway toward Pinto. MD 53 begins as a one-way street headed southbound. The state highway becomes two-way at its intersection with Brant Road, which joins the one-way street southbound. MD 53 receives northbound traffic from US 220 via MD 636. Southbound traffic approaching the intersection of MD 53 and MD 636 may use either state highway to access both directions of US 220. MD 53 continues north from MD 636 as a two-lane undivided road that crosses Warrior Run. MD 53 continues north along the western flank of Haystack Mountain, crossing Winchester Run a few times and intersecting both ends of MD 951, the old alignment of MD 53. The state highway expands to a four-lane divided highway as it passes to the west of Country Club Mall. After an intersection with MD 658, MD 53 turns northwest and passes under I-68, with the only direct access an entrance to eastbound I-68. The state highway then meets its northern terminus at an intersection with US 40 Alternate in La Vale. Access to westbound I-68 is provided a short distance to the east on US 40 Alternate. MD 53 is part of US 220 Truck, which provides access from Interstate 68 west of La Vale to southbound US 220 for trucks due to a truck prohibition on the eastbound exit ramp for I-68's interchange with US 220. The state highway is part of the main National Highway System from US 220 to I-68; in addition, the portion from I-68 to US 40 Alternate is a National Highway Systemprincipal arterial..
History
The Winchester Road was first laid out in the 18th century as the route from Cumberland to Winchester, Virginia. The route headed south from near the present intersection of US 40 Alternate and MD 53 to Cresaptown, continued south to a crossing of the Potomac River at Pinto, crossed Knobly Mountain to reach the path of West Virginia Route 28, which it followed to Romney, then followed the path of US 50 east to Winchester. Winchester Road south of Cresaptown was never a state highway, but it was upgraded as a military access road to the United States Army's Allegany Ordnance Plant in West Virginia on the opposite side of the Potomac River from Pinto during World War II. The county highway remained the primary access point to the laboratory from Maryland until the construction of MD 956 in 1967. The modern MD 53 was constructed between 1924 and 1926. MD 53 was rebuilt between 1953 and 1956, bypassing the alignment that is now MD 951. It is not clear when the southernmost portion of MD 53 became one-way southbound. MD 53 was expanded to a divided highway from just south of MD 658 north to US 40 Alternate in 1972 in conjunction with the construction of I-68 through La Vale.