MCL tear Flashcards
1
Q
MCL tear classic presentation
A
- person comes in with charp medial knee pain after the knee was forced into valgus position and felt tearing sensation
- overuse injury in swimmers
2
Q
similar DDX’s
A
- ACL tear
- medial meniscus
- Pes anserine bursitis
3
Q
supporting factors
A
- valgus blow to the knee
- sharp medial knee pain
- swelling at time of injury
- medial knee bruising and swelling over several days
- tenderness over MCL
4
Q
refuting factors
A
- non-traumatic
- popping sensation
- feeling of locking or catching
- severe inability to bear weight
5
Q
relevant orthos
A
- apley’s distraction produces medial knee pain
- no instability but pain = grade 1 sprain
- laxity only when flexed = grade 2 tear
- laxity in both positions = grade 3 tear
6
Q
referrals
A
- local ultrasounds
- x-ray
- surgical indications
7
Q
contraindications
A
- for grade 3 avoid weight bearing
8
Q
technique
A
- no modifications
9
Q
care plan
A
- 2 x a week for 4 weeks
10
Q
recommendations
A
- knee brace
- NSAIDS
- functional tests
11
Q
prognosis
A
- grade 1&2 return to play by 4-6 weeks
- grade 3 return to play by 8-12 weeks
