Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute left knee pain following a valgus stress injury. Reports localized medial joint line pain, swelling, and subjective instability. Difficulty with weight-bearing and ambulation noted. No history of locking or mechanical symptoms suggestive of meniscal pathology.
Clinical Examination Findings
Left knee examination reveals localized tenderness along the medial collateral ligament (MCL) course. Significant laxity noted on valgus stress testing at 30 degrees of flexion, consistent with Grade II/III MCL injury. Endpoint is soft/absent. Lachman and posterior drawer tests negative. Neurovascular status intact distally.
Treatment Protocol
Initiate RICE protocol (Rest, Ice, Compression, Elevation). Immobilization in a hinged knee brace locked in extension or limited range of motion as tolerated. Non-steroidal anti-inflammatory drugs (NSAIDs) for pain management. Physical therapy referral for progressive range of motion and quadriceps strengthening. Follow-up in 2-4 weeks.