Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right knee pain following a valgus stress injury. Reports immediate onset of sharp medial pain, significant 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 right knee.
Clinical Examination Findings
Right knee examination reveals significant medial joint line tenderness and localized edema. Valgus stress testing at 0° and 30° of flexion demonstrates complete laxity with a definitive, absent endpoint, consistent with a Grade III MCL rupture. Lachman and posterior drawer tests are negative, indicating intact ACL/PCL. Neurovascular status is intact distally.
Treatment Protocol
Treatment plan includes immobilization with a hinged knee brace locked in extension initially, progressing to controlled range of motion. Strict non-weight bearing or toe-touch weight bearing as tolerated with crutches. Initiate RICE protocol (Rest, Ice, Compression, Elevation). Referral to physical therapy for early protected mobilization and quadriceps strengthening. Orthopedic follow-up in 1-2 weeks.