Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right knee pain following a valgus stress injury. Reports localized medial joint line pain, swelling, and subjective instability. Difficulty with weight-bearing and ambulation noted since the time of injury. No history of locking or mechanical symptoms suggestive of meniscal pathology.
Clinical Examination Findings
Right 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 tear. Endpoint is soft or absent. Lachman and McMurray tests are negative. Neurovascular status is intact distally.
Treatment Protocol
Initial management includes RICE protocol (Rest, Ice, Compression, Elevation). Immobilization with a hinged knee brace locked in extension or limited range of motion as tolerated. Non-steroidal anti-inflammatory drugs (NSAIDs) for pain control. Physical therapy referral for protected range of motion and progressive strengthening. Follow-up in 2-4 weeks for reassessment.