Abstract
Injuries of the knee joint are the most common problem seen by the sports medicine clinician. The medial collateral ligament (MCL) and medial capsular structures are frequently the site of many injuries in sports. Conversely, injuries to the lateral and posterolateral capsular structures are less common than those of the medial capsule, but can produce significant functional limitations and dysfunction. Either the medial or lateral capsule may be injured in isolation or in combination with other supporting structures. The nonoperative treatment and postoperative treatment of medial and lateral knee capsular injuries is based on several critical factors. These factors include the accurate determination of an isolated injury, status of the cruciate ligaments, type of onset, degree of instability, status of dynamic stabilizers, and patient's activity level. The treatment of isolated MCL injuries has been subject to considerable evolution and diversity. The rehabilitation of isolated MCL injuries is extremely aggressive with emphasis on immediate motion, strengthening, and early functional exercise drills. Conversely, the rehabilitation approach for posterolateral and/or lateral capsular injuries tends to be slightly slower. In this article the rehabilitation of the medial and lateral capsular structures nonoperatively and after surgical repair will be discussed.
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