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Orthopedics & Traumatology

MCL Sprain, Grade I, Right Knee

ICD-10 Code
S83.411A_1

Clinical diagnosis and template for MCL Sprain, Grade I, Right Knee.

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with right knee pain following a valgus stress injury. Reports localized tenderness along the medial joint line. No mechanical symptoms such as locking or catching. Denies instability, giving way, or neurovascular deficits. Pain is exacerbated by weight-bearing and lateral movement.

Clinical Examination Findings

Right knee examination reveals mild edema and point tenderness along the course of the medial collateral ligament. Valgus stress test at 0 and 30 degrees of flexion is positive for pain but demonstrates a firm endpoint with no increased laxity compared to the contralateral side. Lachman and McMurray tests are negative. Neurovascular status is intact distally.

Treatment Protocol

Conservative management initiated: RICE protocol (Rest, Ice, Compression, Elevation). Activity modification to avoid valgus stress. Prescription of NSAIDs for pain and inflammation control. Physical therapy referral for range of motion exercises and strengthening of the quadriceps and hamstrings. Follow-up in 2-4 weeks.

Detailed clinical guide coming soon.