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Video 1. Arthroscopic primary medial collateral ligament repair with suture anchor. Preoperative radiograph shows valgus instability. Preoperative magnetic resonance imaging shows a deep MCL and superficial MCL tear. Arthroscopy shows the drive-through sign and capsular tear at the medial femoral epicondyle.
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Arthroscopic MCL repair in the right knee with the patient...
- A Technical Note
Several reconstruction techniques for irreparable tears of...
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Jul 1, 2024 · This article delves into the treatment spectrum from conservative management to surgical intervention, highlighting the three grades of MCL tears. Uncover why non-surgical methods are often preferred, thanks to the MCL's robust healing capacity and the risks associated with surgery.
Feb 5, 2016 · Injuries to the medial side of the knee have traditionally been treated conservatively with bracing and early motion, achieving satisfactory results in most patients. 1 Recent research on the anatomy and biomechanics of the medial side of the knee, coupled with the more anatomical techniques of reconstruction, have led to an increased interest i...
- N. Reha Tandogan, Asim Kayaalp
- 10.1302/2058-5241.1.000007
- 2016
- EFORT Open Rev. 2016 Feb; 1(2): 27-33.
- Definition/Description
- Clinically Relevant Anatomy
- Epidemiology /Etiology
- Characteristics/Clinical Presentation
- Differential Diagnosis
- Diagnostic Procedures
- Outcome Measures
- Examination
- Medical Management
- Physical Therapy Management
A medial collateral ligament (MCL) injury is a stretch, partial tear, or complete tear of the ligament on the inside of the knee. It is one of the most common knee injuries and results mostly from a valgus force on the knee .
The medial collateral ligament is a big ligament on the medial side of the knee. For more clinically relevant anatomy of the knee click here. The medial collateral ligament(MCL) is one of the four ligaments that are critical to maintaining the mechanical stability of the knee joint. The ligamentous sleeve spans the entire medial side of the knee fr...
MCL injuries mostly occur after an impact on the outside of the knee, lower thigh or upper leg, when the foot is in contact with the ground, and unable to move. The MCL on the inside of the knee will become stressed due to the impact, and a combined movement of flexion/valgus/external rotation will lead to tears in the fibres. The athlete might fee...
As with all the ligament injuries, the MCL injury is graded I, II or III (this grade is given depending on the degree of sustained tear). A grade I tear consists of less than 10% of the collagen fibres being torn, with some tenderness but no instability. Most of the patients feel pain when we apply force on the outside of a slightly bent knee, but ...
Differential diagnosis is necessary to exclude injuries that may cause the same symptoms as MCL injury of the knee. These injuries are: 1. Medial meniscal tear/injury 2. Anterior cruciate ligament (ACL) tear 3. Tibial plateau fracture 4. Femur injury or fracture 5. Patellar subluxation/dislocation 6. Medial knee contusion 7. Pediatric distal femora...
The patient’s anamnesis is important to know where the pain is located. After determining where it hurts, the therapist has to feel if there is tenderness or soft-tissue swelling. For that, he needs to palpate the knee joint. Most of the time, the pain is localized on the medial side of the knee. Soft-tissue swelling will also be present. As was ex...
International Knee Documentation Committee (IKDC)Tegner function scoreLysholm knee scoreA clinical evaluation is important to judge whether the injury is localised in the MCL or whether other structures are damaged. First of all, a lot of information can be obtained by the patient’s description of the injury. Secondly the contralateral knee should be examined so both legs can be compared. When inspecting the knee, it is important to d...
The first three grades are the same as for every ligament injury. Grade I is sprained, grade II is a partial tear, grade III is a complete tear of the ligament. Some surgeons describe a grade four injury, also called a medial column injury, to the MCL. It occurs when the injury affects more than just the medial collateral ligament (MCL) and may req...
The treatment of a medial collateral ligament injury rarely requires surgical intervention. The extracapsular, the medial collateral ligament, appear to have a fairly robust potential to healing. In cases where instability exists after nonoperative treatment, or instances of persistent instability after ACL and/or PCL reconstruction, the MCL tear m...
Jun 14, 2024 · The short answer is yes, it may do. The good news about MCL tears is that many can self-heal without surgery. But there are a couple of ways we can determine whether this is likely to happen. 1: Surrounding damage MCL tears can occur in isolation: a big impact, a single point of damage.
This post will look at MCL tears — how they occur, how they’re treated, and what to expect if you need MCL surgery. What is the MCL? The MCL, or medial collateral ligament, is a strong, fibrous band of tissue that connects your thigh bone (or femur) to your shin bone (or tibia).
People also ask
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What is arthroscopic primary MCL repair with suture anchor?
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Jul 6, 2024 · Delve into what the MCL is, how injuries occur, and symptoms to watch for. Learn about the surgical repair options available for severe MCL injuries, including direct repair and reconstruction, and understand the minimally invasive process aimed at restoring knee stability and function.
