Abstract
Background: Tear of MCL of the knee is a frequent problem among knee ligaments injuries.Injuries to the MCL are usually caused by contact on the outside of the knee and are accompanied by sharp pain on the inside of the knee. Contrary to most other knee ligaments the medial collateral ligament (MCL) has an excellent ability to heal, being fairly large and well vascularised structure. The vast majority of isolated medial ligament injuries heal without significant long-term problems
 Objectives: is to compare between the early clinical examination, and assessment under general anesthesia (GA), and to find out the best methods to assess the MCL tear especially in suspected cases.
 Type of the study:Cross- sectional study.
 Methods: Fifty patients are collected from casualty & outpatient units from November/2014 to October/2016 with MCL injury in AL-Kindy teaching hospital.We decided to evaluate them under general anesthesia by valgus stress test at 30 degrees & 0 degrees to estimate the integrity of MCL, in addition to anterior &posterior Drawer test to evaluate anterior &posterior cruciate ligaments
 Results: : From the 50 patients we select, there were 21 patients seen in the examination to have MCL tear.1 of them were Grade I ( 4.8% ),14 of them were Grade II (66.7% ),&6 of them were Grade III (28.5%)Associated injuries with ACL injury were 5 patients, with PCL injury were 1 patient and with medial capsular injury were 2 patients. Follow up of case range from (2-10) weeks with an average of 6 weeks combined with physiotherapy programs.
 Conclusions: Diagnosis of MCL tear by valgus stress test under GA is the best method for the assessment of MCL tear in suspected cases.
Highlights
Tear of medial collateral ligament (MCL) of the knee is a frequent problem among knee ligaments injuries.Injuries to the MCL are usually caused by contact on the outside of the knee and are accompanied by sharp pain on the inside of the knee
T knee is the largest joint in the body and its security depends not so much on the intrinsic shape of its articular surfaces, but on the capsule and the powerful ligaments which bind the bones together, and on the muscles and tendons which surround it.It is a relatively unstable joint, which explains the frequency of injuries. (1, 2, 3)The medial ligament consists of three portions; superficial, deep and oblique. (4)Superficial part provides primary restraint to valgus stress at knee depending on knee flexion angle;deepfirmly attaches to the meniscus but does not provide significant resistance to valgus force(5).Injuries to the MCL are usually caused by contact on the outside of the knee and are accompanied by sharp pain on the inside of the knee
Associated injuries: By assessment under anesthesia we found that 13 patients had isolated tear of the MCL. (61.9%), the remaining 8 patients had MCLtear associated with other knee structures injuries as shown in table2: Graph (1): Grades of MCL Tear) Table (2): Associated Injuries of MCL Tear
Summary
Tear of MCL of the knee is a frequent problem among knee ligaments injuries.Injuries to the MCL are usually caused by contact on the outside of the knee and are accompanied by sharp pain on the inside of the knee. The vast majority of isolated medial ligament injuries heal without significant long-term problems Objectives: is to compare between the early clinical examination, and assessment under general anesthesia (GA), and to find out the best methods to assess the MCL tear especially in suspected cases. Methods: Fifty patients are collected from casualty & outpatient units from November/2014 to October/2016 with MCL injury in AL-Kindy teaching hospital.We decided to evaluate them under general anesthesia by valgus stress test at 30 degrees & 0 degrees to estimate the integrity of MCL, in addition to anterior &posterior Drawer test to evaluate anterior &posterior cruciate ligaments
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
