{"id":4106,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mclinjury\/"},"modified":"2026-01-07T14:20:35","modified_gmt":"2026-01-07T14:20:35","slug":"mclinjury","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneetraumaticevent\/mclinjury\/","title":{"rendered":"MCL Injury"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">History<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Young to middle age<\/li>\n\n\n\n<li>Fall or twist<\/li>\n\n\n\n<li>Immediate pain medially<\/li>\n\n\n\n<li>Possible effusion &#8211; slow onset<\/li>\n\n\n\n<li>Difficulty weight bearing<\/li>\n\n\n\n<li>Medial pain<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Signs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Limp<\/li>\n\n\n\n<li>Local tenderness<\/li>\n\n\n\n<li>Possible effusion<\/li>\n\n\n\n<li>Possilbe MCL laxity <\/li>\n\n\n\n<li>Difficulty kneel\/squat<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"608\" height=\"354\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Pain-on-stressing-MCL.png\" alt=\"Pain on stressing MCL\" class=\"wp-image-17308\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Pain-on-stressing-MCL.png 608w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Pain-on-stressing-MCL-300x175.png 300w\" sizes=\"auto, (max-width: 608px) 100vw, 608px\" \/><figcaption class=\"wp-element-caption\"><span class=\"media-credit\">NHS Lothian<\/span> Pain on stressing MCL &#8211; image copyright NHS Lothian Medical Photography.<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><strong>M.A. &amp; J.G. 23-05-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Secondary care referral<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urgent referral if gross laxity <\/li>\n\n\n\n<li>Routine referral if no resolution of symptoms in 6 weeks<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">How to Refer<\/h3>\n\n\n\n<p>SCI gateway &gt;Lauriston Buildings &gt; Orthopaedics \u2013 Knee &gt; LI Non-Arthroplasty Knee<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">\u200bPrimary care investigations<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X-Ray &#8211; AP standing &amp; lateral<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Primary care treatment<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Analgesia<\/li>\n\n\n\n<li>PRICE (Protection, Rest, Ice, Compression, Elevation)<\/li>\n\n\n\n<li>Physiotherapy<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Arthritisresearchuk.org<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>History Signs M.A. &amp; J.G. 23-05-24<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4075,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[413],"class_list":["post-4106","page","type-page","status-publish","hentry","category-mclinjury"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/knee\/kneetraumaticevent\/mclinjury\/\" rel=\"tag\">MCL Injury<\/a>","rttpg_excerpt":"History Signs M.A. &amp; J.G. 23-05-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4106","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4106"}],"version-history":[{"count":14,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4106\/revisions"}],"predecessor-version":[{"id":26114,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4106\/revisions\/26114"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4075"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4106"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}