MCL

Question 1

Anatomy MCL

Answer 1

Medial Cruciate Ligament
Key stabiliser of knee
Originates from med femoral condyle
Inserts on medial tibial condyle
Prevents valgus instability

Question 2

Presentation MCL

Answer 2

Direct contact - valgus force
Indirect - twisting, change of direction

Question 3

Grade 1 MCL

Answer 3

Med pain
Swelling
Tender
W/O lax

Question 4

Grade 2 MCL

Answer 4

Med pain
Swelling
Ecchymosis
Instability

Question 5

Grade 3 MCL

Answer 5

Severe med pain
Swelling
Severe Ecchymosis
Knee gives way into valgus
Increased lax

Question 6

Tests - MCL

Answer 6

Valgus stress test -
Supine
Hand outside knee other at foot
ABD force at foot
30 and 0 knee fx
Gapping or pain - positive

Swain Test -
Pt seated fx 90 degree knee fx
Thx grabs ankle and ex rot tibia
P on test

Antmed drawer test -
Pt supine
Knee 90 fx
Ant med force on joint line

Question 7

Treatment MCL

Answer 7

Phase 1-
RICE
ROM
Strengthen quads and hams

Phase 2-
Full WB
Proprioceptive
RICE
Strengthen