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Orthopedics & Traumatology

MCL Tear, Grade II, Left Knee

ICD-10 Code
S83.415A

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with acute left knee pain following a valgus stress injury. Reports localized medial joint line tenderness, mild swelling, and subjective instability during ambulation. No locking or mechanical symptoms noted.

Clinical Examination Findings

Left knee examination reveals localized tenderness over the medial collateral ligament (MCL) femoral attachment. Valgus stress test at 30 degrees of flexion demonstrates moderate laxity with a firm endpoint, consistent with a Grade II injury. Lachman and McMurray tests are negative. Neurovascular status intact distally.

Treatment Protocol

Conservative management initiated: RICE protocol (Rest, Ice, Compression, Elevation), hinged knee brace for medial stability, and non-steroidal anti-inflammatory drugs (NSAIDs) for pain control. Physical therapy referral for range of motion and strengthening exercises. Follow-up in 4 weeks.

Detailed clinical guide coming soon.