Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with left knee pain following a valgus stress injury. Reports localized medial joint line tenderness. No mechanical symptoms, locking, or instability noted. Pain is mild, exacerbated by weight-bearing and lateral movement.
Clinical Examination Findings
Left knee examination reveals mild edema along the medial collateral ligament (MCL) course. Palpation elicits tenderness over the medial femoral condyle and joint line. Valgus stress test at 0° and 30° flexion is positive for pain but negative for laxity (Grade I). Lachman and McMurray tests are negative. Neurovascular status is intact distally.
Treatment Protocol
Conservative management initiated: RICE protocol (Rest, Ice, Compression, Elevation) for 48-72 hours. Hinged knee brace for support during ambulation. NSAIDs as needed for pain control. Physical therapy referral for range of motion and quadriceps strengthening exercises. Follow-up in 2 weeks.