Review: Medial collateral ligament injuries

Andrews, Kyle; Lu, Alex; Mckean, Lucas A; Ebraheim, Nabil A.

doi:10.1016/j.jor.2017.07.017

Cited by 83 publications

(76 citation statements)

References 16 publications

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“…MCL injury treatment has been a topic of debate, with a general consensus to treat grade I and II injuries (Hughston classification system) conservatively. 8 , 15 This is because of the superior healing potential and vascularity of the MCL in comparison to the ACL. 16 Treatment of grade III MCL injuries remains a topic of controversy, especially with concomitant ACL injury.…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous Arthroscopic Assisted Knee Medial Collateral Ligament Repair

Jacob

A.N

Kumar

et al. 2020

Arthroscopy Techniques

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Medial collateral ligament (MCL) injuries are commonly encountered alongside anterior cruciate ligament injuries. Treatment modalities have ranged from conservative management to surgical repair, augmentation, and reconstruction. Various reports have reported residual valgus instability, especially in higher-grade injuries that have been treated conservatively. The MCL provides valgus stability but also is an element of anterior stability to the tibia in addition to the anterior cruciate ligament. In addition, meniscal “lift-off” and “floating” have been described as consequences after MCL injuries, and meniscal dysfunction has been shown to lead to accelerated joint degeneration; therefore, all efforts should be made to treat these injuries adequately. We describe a simple, minimally invasive technique that involves suturing the deep MCL to the medial joint capsule, allowing better MCL healing, causing less soft-tissue scarring, and preventing meniscal extrusion.

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Section: Discussionmentioning

confidence: 99%

“… 6 , 7 The DMCL resists valgus stresses and is a secondary restraint alongside the medial meniscus to anterior tibial translation. 8 Cadaveric studies have shown that knees with an incompetent MCL exhibited increased loading patterns on the ACL. 9 , 10 …”

mentioning

confidence: 99%

Percutaneous Arthroscopic Assisted Knee Medial Collateral Ligament Repair

Jacob

A.N

Kumar

et al. 2020

Arthroscopy Techniques

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“…The most common injuries are those of the medial collateral ligament (MCL) [ 1 , 2 , 3 ], produced by distortion of the knee with valgus deviation and external rotation. This injury is particularly frequent especially in professional athletes [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

REAC neurobiological treatments in acute post-traumatic knee medial collateral ligament lesion

Barcessat

Bittencourt

Pereira

et al. 2020

Heliyon

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Objective Physical traumas can lead to unconscious neuropsychical alterations, which can compromise rehabilitation result and functional recovery. Aim of this interventional study is to verify if neurobiological Radio Electric Asymmetric Conveyer (REAC) treatments Neuro Postural Optimization (NPO) and Tissue Optimization (TO) are able respectively to improve neuro psychomotor strategies and facilitate recovery process in medial collateral ligaments (MCL) lesions of the knee. Patients and methods 45 healthy subjects, 32 males and 13 females, with knee MCL lesion, diagnosed with MRI or ultrasound. Within 4 days after the trauma, subjects were clinically evaluated (T0), both through medical and subjective assessments. Clinical evaluation was repeated after the REAC NPO treatment (T1) and at the end of 18 REAC TO treatments (T2) and at the 30 days follow-up (T3). Results In comparison with the results commonly found in clinical practice, all REAC treated patients recovered much faster. They reported functional recovery, pain relief and joint stability, regardless of the severity of the lesion. Conclusion The combined use of REAC NPO and TO can envisage a new rehabilitative approach, which aims not only at recovering the outcomes of the physical trauma, but also at improving the neuropsychical state that can condition the rehabilitation result.

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“…The authors describe the case of a 48-year-old man with a bilateral rupture of the patellar tendons, combined with a bilateral complete tear of the MCL. These lesions occur frequently in isolation [ 3 , 4 ], but the uniqueness of this case lies in the bilateral combination of both lesions. No reports of an exactly similar case have been found in the literature.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Bilateral Rupture of the Patellar Tendon and Medial Collateral Ligament: A Case Report and Literature Review

Louka¹,

Pourre²

2020

Case Reports in Orthopedics

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Bilateral rupture of the patellar tendon is considered an uncommon and rare musculoskeletal injury. The association of this lesion with medial collateral ligament tear appears to be exceedingly rare. We present the case of a combined rupture of the medial collateral ligament (MCL) and the patellar tendon of both knees in a 48-year-old man, after falling 2 meters down an embankment. While there are numerous publications concerning associated MCL tears and other knee ligaments, a combination of MCL tear with a patellar tendon rupture is very rare. In addition, our case presents the first case recorded in the literature, involving both knees of a patient. The clinical case is described and discussed following a review of the literature. The symmetrical knee injury was treated with a primary direct repair of the MCL tears and using a suture anchor fixation of the patellar tendon ruptures, which was reinforced by a stainless steel wire and an autograft of the ipsilateral quadriceps tendon.

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Review: Medial collateral ligament injuries

Cited by 83 publications

References 16 publications

Percutaneous Arthroscopic Assisted Knee Medial Collateral Ligament Repair

Percutaneous Arthroscopic Assisted Knee Medial Collateral Ligament Repair

REAC neurobiological treatments in acute post-traumatic knee medial collateral ligament lesion

Simultaneous Bilateral Rupture of the Patellar Tendon and Medial Collateral Ligament: A Case Report and Literature Review

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