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History
- Young to middle age
- Fall or twist
- Immediate pain medially
- Possible effusion – slow onset
- Difficulty weight bearing
- Medial pain
Signs
- Limp
- Local tenderness
- Possible effusion
- Possilbe MCL laxity
- Difficulty kneel/squat
Secondary care referral
- Urgent referral if gross laxity
- Routine referral if no resolution of symptoms in 6 weeks
Primary care investigations
- X-Ray – AP standing & lateral
Primary care treatment
- Analgesia
- PRICE (Protection, Rest, Ice, Compression, Elevation)
- Physiotherapy
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