History
- Young to middle aged
- Fall with significant twist – often buckles inwards (valgus)
- Frequently non contact injury especially in females
- Sports injury contact to lateral aspect of knee
- Pain++
- Heard pop/tearing sound
- Rapid onset swelling (haemarthrosis)
- Difficulty WB
- Possible previous episode of injury
- Knee giving way/instability
Signs
- Limp
- Ongoing swelling
- Loss of range of movement
- May also have injured MCL


Secondary care referral
Refer to Orthopaedics via Sci Gateway
- SCI gateway >Lauriston Buildings > Orthopaedics – Knee > LI Non-Arthroplasty Knee
Primary care investigations
- X-Ray – AP & lateral to exclude #
Primary care treatment
- Analgesia
- PRICE (Protection, Rest, Ice, Compression, Elevation)
- Walking aids eg crutch
- Physiotherapy












