Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with right knee pain following a valgus stress injury. Reports localized medial joint line tenderness, mild swelling, and subjective instability. No history of locking or mechanical symptoms. Pain exacerbated by weight-bearing and lateral movement.
Clinical Examination Findings
Right knee exam: Mild medial soft tissue swelling noted. Tenderness to palpation along the medial femoral condyle and MCL course. Valgus stress test at 0 degrees is stable; at 30 degrees, demonstrates 5-10mm of joint space opening with a firm endpoint, consistent with Grade II MCL injury. Lachman and posterior drawer tests negative. Neurovascularly intact.
Treatment Protocol
Conservative management initiated: RICE protocol (Rest, Ice, Compression, Elevation). Hinged knee brace locked in extension for 2 weeks, followed by gradual range of motion. NSAIDs for pain control. Physical therapy referral for quadriceps strengthening and proprioceptive training. Follow-up in 4 weeks.