Apr 24, 2019 the medial collateral ligament mcl is a ligament in your knee that connects your thigh bone to your shin bone. When pressure is applied to the knee from the side, or when the knee is twisted, a. The mcl medial collateral ligament is a band of tissue that runs along the inner edge of your knee. Elevate the leg and use elastic stockings if the leg is swollen. Most of you can be started in physical therapy to rehab your knee soon after the injury. It is intended as a guideline to help you organize a structured approach to strengthen the knee. A medial collateral ligament mcl knee sprain is a prevalent injury in athletic populations that may result in significant time lost to injury.
The mcl is the stabilizing ligament between the medial distal femur thigh bone and the medial upper tibia shin bone. Contact ohio state sports medicine at 6142932385 if questions arise. The mcl is the prime medial stabiliser of the knee and is a commonly injured structure which leads to valgus instability of the knee. Use of this image without authorization from primal pictures, ltd. Feb, 20 4010 west 65th street edina, mn 55435 phone. Deep tissue massage or foam rolling of the local muscles stage 3. Rehabilitation after injury to the medial collateral. This ligament stabilizes the joint on the inside of the knee.
Shift your weight onto the injured leg on the support. Click here to download pdf activities and exercises after injury to the medial collateral ligament mcl of the knee phase 1. In particular, it resists valgus stress and prevents your shin, or tibia. Medial collateral ligament mcl rehabilitation protocol weeks postinjury 12 weeks initiate physical therapy. The medial collateral ligament mcl is one of four ligaments that are critical to the stability of the knee joint. Mcl knee ligament injury rehabilitation physioroom.
It should be stressed that this is only a protocol and should not be a substitute for clinical decision making regarding a patients progression. Recovery of knee function in the isolated mcl and combined. Brace for the first 6 weeks after injury grade 2 and 3 3 weeks after injury grade 1. Started overtraining and playing too much basketball and stopped doing my. Assuming a correct diagnosis of an isolated mcl injury, the knee is unstable. It is attached to the bottom of the femur thighbone, runs down the inside of the knee, over the joint, and attaches at its other end to the top of the tibia shinbone. Multiple ligament knee injuries acl r and mcl repair clinical practice guideline progression is time and criterionbased, dependent on soft tissue healing, patient demographics and clinician evaluation. This protocol was designed to provide the rehabilitation professional with a guideline of postoperative care. Mclnet mcl technologies 1 introduction mclnet is part of the mcl collection of software. Hold your knee straight for about 6 seconds, then slowly bend your knee and lower your leg back to the floor. The main function of the mcl is to reinforce the medial knee joint against excessive valgus stress or inward bowing of the knee.
The restoration phase is defined as the period of time in which vigorous exercises and joint rom are initiated. Patient will wear immobilizer for 2 weeks following injury, except in p. Provided it is not too painful, full weightbearing should be. Started overtraining and playing too much basketball and stopped doing my strength and conditioning leg work outs. Rehabilitation after injury to the medial collateral ligament of the knee phase 2. The medial collateral ligament mcl is one of the most commonly injured ligamentous structures of the knee joint. This pushes the bones apart on the inside of the knee which overstretches the ligament tearing the mcl.
You may do the remaining exercises when you have less pain and swelling in your knee. This structure is divided into superficial and deep ligaments. A ligament is made of tough fibrous material and functions to control excessive motion by limiting joint mobility. The windows media center link file type, file format description, and windows programs listed on this page have been individually researched and verified by the fileinfo team. When pressure is applied to the knee from the side, or when the knee is twisted, a tear in the medial collateral ligament can result. This ligament is one of the four main ligaments that stabilize the knee joint. The four major stabilizing ligaments of the knee are the anterior and posterior cruciate ligaments acl and pcl. Mcl knee sprain grade iii adopted 298, revised 204, revised 109 1 general principles. The mcl is one of the most common injured ligaments within the knee. Stand with the foot of your injured leg on a support 3 to 5 inches 8 to centimeters high like a small step or block of wood.
We strive for 100% accuracy and only publish information about file formats that we have tested and validated. Easy stationary bike for range of motion roms, quads, straight leg raises slrs, calf raises. The mcl file extension is associated with windows media center, a digital video recorder and media player developed by microsoft the mcl is an application shortcut to the more programs page, basically an xml file that specifies the path to what application to run, title, thumbnail to display, etc. Mcl rehab time refers to the time it takes for a person to complete a full mcl rehabilitation program. The mcl is understood as being the most common ligament injury of the knee. It helps to connect your shin and thigh bones to keep your knee stable and working properly.
The medial collateral ligament mcl is a ligament in your knee that connects your thigh bone to your shin bone. Grade 2 and 3 injuries locked in extension x 1014 days prior to initiating physical therapy and then limited 090 degrees for an additional 2 weeks. Continued use of therapeutic modalities further enhances the healing process during this time. The main function of the medial collateral ligament is to prevent the knee from hyperextension inwards and allow rotation to happen. The mcl is one of four major ligaments that supports the knee. An mcl injury usually occurs when there is a force through the outer side of a bent knee, e. Associate professor of orthopaedics chief division of sports medicine tel. The hinged knee brace should be worn at all times during the early active rehabilitation phase, and should be set between minus 5 degrees of extension and 110 degrees of flexion.
Progress should be modified on an individual basis. However when the mcl is overstretched due to trauma, it can tear quite easily. Mcl tear and contraindicated exercises healthy living. It is a software product that should be installed on a server somewhere on your network. The primary goal of this protocol is to protect the reconstruction while steadily progressing towards and ultimately achieving preinjury level of activity. This is an old article from the 2016 nfl season that covers mcl injury rehabilitation. When this happens, you face a recovery time of weeks to months, depending on the grade of the mcl tear. This ligament is a strong broad band found on the inner aspect of the knee joint and is the largest structure situated on the medial side. The medial collateral ligament mcl on the inner side of the knee is most often torn when there is a force that strikes the outside of the knee. Its basic function is to support communications between mclclient devices and host systemsdatabases. A medial collateral ligament, or mcl, is a loop of tissue that connects the inner aspect of the knee to the femur, also called the thigh bone. Rehabilitation after injury to the medial collateral ligament.
Due to the stabilizing responsibilities of the mcl the primary mechanism of injury is a valgus stress to the knee, but can also be due to an anterior translation that would more than likely involve the acl. Crutches and restricted weight bearing may be needed, as instructed by dr. An average mcl rehab program is going to vary depending on the type of sprain. The mcl provides stability and support to the knee during lateral or cutting movements. Six weeks after injury onward grade 2 and 3 three weeks after injury onward grade 1 this handout is to help you rebuild the strength of the knee muscles after injury to the mcl of the knee. Do this exercise if you are unable to extend your knee fully. The mcl attempts to resist widening of the joint and tears if the force is too great. The video shows a valgus stress being placed on the lateral side of the knee resulting in the medial side being opened too much and the medial collateral ligament being pulled past the plastic stage into a complete tear. To go directly to mcl injury rehabilitation considerations, click here a trio of star nfl running backs leveon bell, matt forte, and reggie bush went down with mcl injuries this past week. Medial collateral ligament mcl rehabilitation protocol weeks postinjury 12 weeks. As the pain lessens and the swelling decreases, try.
Our goal is to help you understand what a file with a. Medial collateral ligament of the knee physiopedia. Grade 3 injuries might require a longer period of bracing and in some instances a grade 3 complete mcl tear might require surgery to repair the tear. Relieve the pain and stabilize your knee with one of the many knee braces made specifically for mcl injury and available right here with mmar medical. This protocol is intended to provide a general guideline to treating an mcl sprain.
It runs from the upperinside surface of the shin bone tibia to the bottominside surface of the thigh bone femur. Mcl injury rehabilitation considerations the prehab guys. Medial collateral ligament mcl reconstruction repair postop rehabilitation protocol the following is a protocol for postoperative patients following acl reconstruction. We aim to analyse differences in recovery of knee motion and muscle function over one year follow up in the isolated mcl. An mcl sprain is an injury sustained by the medial collateral ligament mcl. Provided it is not too painful, full weightbearing should be encouraged and the crutches should be abandoned. Six weeks after injury onward, 3 weels after injury this handout is to help you rebuild the strength of the knee muscles after injury to the mcl of the knee. Mcl rehab can begin immediately following the injury and should be focused on proper mobility and recovering full. Medial collateral ligament mcl rehabilitation protocol. Recovery from an mcl injury is very dependent on the grade of your mcl tear.
How to manage an acute mcl knee injury following a recent suggestion from a rehabroom reader i have put together a short post on how i would manage an acute medial collateral ligament mcl knee injury. The medial collateral ligament mcl is a thickening of the medial or inner knee joint capsule. Sudden twisting of the knee, such as changing direction quickly, particularly if you are wearing studs that fix the foot to the. Mcl sprain soccer the medial collateral ligament mcl is a broad, thick band found on the inside area of the knee. The mcl file extension is associated with windows media center, a digital video recorder and media player developed by microsoft the mcl is an application shortcut to the more programs page, basically an xml file that specifies the path to what application to run, title, thumbnail to display, etc this mcl file type entry was marked as obsolete and no longer supported file format. The knee should be to be protected with a hinged brace for 3 to 6 weeks, depending upon the severity of the injury. An mcl sprain is an injury sustained by the medial collateral ligament mcl, which is used to stabilize the knee joint. Thirdly, the management of combined aclmcl injuries may not be equal or comparable. Straighten your injured leg as the other leg comes off the floor. No confounding injuries ie acl, pcl, meniscus primary surgery. Lateral or outer view of the knee showing the lateral collateral ligament. Rehabilitation guidelines for knee multiligament repair. Medial or inner view of the knee showing the medial collateral ligament, b.
777 882 1356 482 240 1171 1012 1217 1311 233 1038 943 105 1348 209 813 1250 591 679 1405 1171 1540 904 1384 319 632 823 943 93 1139 447 1516 324 492 884 268 1399 242 131 419 550 1356 294 11