Pdf knee medial collateral ligament injuries researchgate. The medial tibial collateral ligament mcl is the key stabilizer of the knee. Primary repair of the medial collateral ligament with a double row. The treatment of mcl sprains with concomitant other ligamentous injuries continues to be controversial. Treatment of injuries has shifted from surgical management to conservative.
Elevate the leg and use elastic stockings if the leg is swollen. No competitive or pivot sports until cleared by surgeon. Brace for the first 6 weeks after injury grade 2 and 3 3 weeks after injury grade 1. Any information contained in this pdf file is automatically generated from digital. Pdf this book provides a comprehensive guide to the evaluation, treatment, and. Mcl sprain rehabilitation protocol medial knee ligament. Nonoperative mcl tear rehabilitation protocol the intent of this protocol is to provide the clinician with a guideline for a nonoperative rehabilitation course of a patient with an isolated medial cruciate ligament injury. The majority of mcl tears are isolated injuries and many times are treated nonoperatively. Rehabilitation after injury to the medial collateral ligament of the knee phase 1. Despite being the most frequently injured ligament of the knee, treatment of mcl injuries remains controversial.
Crutches and restricted weight bearing may be needed, as instructed by dr. Click here to find out which devices have the mcl client factory installed. A sprain is a joint injury that causes a stretch or tear in a ligament, a strong band of tissue connecting one bone. Valgus stress at 30 shows more than 15 of instability and there may be instability in full extension or. Medial collateral ligament mcl sprain nonoperative protocol. No patellofemoral joint pain gross manual muscle testing strength 90100% of contralateral side. It is by no means in tended to be a substitute for ones clinical decision making regarding the progression of a. The treatment ofisolated medial collateral ligament mcl injuries has been subject to considerable evolution and diversity. Physical rehabilitation osullivan, physical rehabilitation by susan b. The treatment of medialsided knee injuries has evolved from aggressive surgical treatments to mostly.
The medial collateral ligament mcl is the most commonly injured ligament of. The first six weeks after injury grade 2 and 3 three weeks after injury grade 1 the knee should be protected with a shorthinged brace for 3 to 6 weeks, depending upon the severity of the injury. A grade iii injury is a complete tear of the mcl complex. Mcl injury rehabilitation and management considerations. If you have a grade 1 mcl sprain, you may have mild tenderness on the inside of the knee over the ligament. The rehabilitation protocol for a mild medial ligament sprain can be split into 4 phases.
The following schedule serves as guidelines to help in the expediency of returning a patient to his or her preinjury state. Rehabilitation after injury to the medial collateral. Increased blood flow means more nutrients, proteins. As the pain lessens and the swelling decreases, try. Phase 1 begins immediately following injury and usually lasts 1 week. Distal knee medial collateral ligament repair with suture. Mcl technologies is a computer software company that provides leading products for building, implementing and maintaining mobility applications. The mcl, unlike other ligaments like the anterior cruciate ligament acl, has a great blood supply. When cleared, patient is to use functional brace for 6 months.
Grade 2 and 3 injuries locked in extension x 1014 days prior to initiating physical therapy and then limited 090 degrees for an additional 2 weeks. With a proper mcl injury rehabilitation protocol, even a complete mcl tear should completely heal. The knee should be to be protected with a hinged brace for 3 to 6 weeks, depending upon the severity of the injury. If you do not find an mcl client for a supported device, the mcl client may be factory installed in the device by the respective manufacturer. The medial collateral ligament is one of the most commonly injured ligaments of the knee. A grade iii medial collateral ligament injury should be suspected with greater than 3. Medial knee, medial collateral ligament, reconstruction, rehabilitation, return to sport.
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