Surgical Management and Treatment of the Anterior Cruciate Ligament/Medial Collateral Ligament Injured Knee

Clin Sports Med. 2017 Jan;36(1):87-103. doi: 10.1016/j.csm.2016.08.005. Epub 2016 Oct 15.

Abstract

The medial collateral ligament (MCL) is the most commonly injured ligament of the knee. The anterior cruciate ligament (ACL) is the most commonly injured ligament in conjunction with the MCL. Most MCL injuries can be treated nonoperatively, whereas the ACL often requires reconstruction. A good physical examination is essential for diagnosis, whereas radiographs and MRI of the knee confirm diagnosis and help guide treatment planning. Preoperative physical therapy should be completed before surgical management to allow for return of knee range of motion and an attempt at MCL healing.

Keywords: Anterior cruciate ligament; Medial collateral ligament; Surgical technique.

Publication types

  • Review

MeSH terms

  • Anterior Cruciate Ligament Injuries / diagnosis
  • Anterior Cruciate Ligament Injuries / physiopathology
  • Anterior Cruciate Ligament Injuries / surgery*
  • Anterior Cruciate Ligament Reconstruction / adverse effects
  • Anterior Cruciate Ligament Reconstruction / methods
  • Arthroscopy / adverse effects
  • Arthroscopy / methods
  • Athletic Injuries / diagnosis
  • Athletic Injuries / surgery
  • Humans
  • Knee / physiology
  • Magnetic Resonance Imaging
  • Medial Collateral Ligament, Knee / diagnostic imaging
  • Medial Collateral Ligament, Knee / injuries*
  • Medial Collateral Ligament, Knee / surgery*
  • Physical Examination
  • Physical Therapy Modalities
  • Postoperative Care
  • Postoperative Complications
  • Radiography
  • Range of Motion, Articular