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

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