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Guidelines

MCL Injury

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
Pain on stressing MCL – image copyright NHS Lothian Medical Photography.

    Referral Guidelines

    Secondary care referral

    • Urgent referral if gross laxity
    • Routine referral if no resolution of symptoms in 6 weeks
    Primary Care Management

    ​Primary care investigations

    • X-Ray – AP standing & lateral

    Primary care treatment

    • Analgesia
    • PRICE (Protection, Rest, Ice, Compression, Elevation)
    • Physiotherapy
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