Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left knee pain following a valgus stress injury. Reports immediate onset of sharp medial pain, localized swelling, and subjective instability. Patient notes difficulty with weight-bearing and a sensation of the knee "giving way." No history of prior injury to the affected knee.
Clinical Examination Findings
Left knee examination reveals significant medial joint line tenderness and localized edema. Valgus stress testing at 0 and 30 degrees demonstrates complete loss of a firm endpoint, consistent with a Grade III MCL tear. Lachman and posterior drawer tests are negative. Neurovascular status is intact distally.
Treatment Protocol
Immediate management includes immobilization with a hinged knee brace locked in extension, RICE protocol (Rest, Ice, Compression, Elevation), and non-weight-bearing status with crutches. Referral to physical therapy for range-of-motion progression and strengthening. Orthopedic follow-up scheduled for reassessment of ligamentous stability.