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Medial Collateral Ligament injury , MCL Injuries - Everything You Need To Know - Dr. Nabil Ebraheim
Medial Collateral Ligament injury , MCL Injuries - Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2015/08/28
Channel: nabil ebraheim
Medial Collateral Ligament Of The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
Medial Collateral Ligament Of The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2017/10/04
Channel: nabil ebraheim
How to test the Medial Collateral ligament (MCL) of the Knee
How to test the Medial Collateral ligament (MCL) of the Knee
Published: 2015/05/04
Channel: John Gibbons
How to treat Knee pain - Medial Collateral Ligament sprain (MCL) / Meniscus with Kinesiology tape
How to treat Knee pain - Medial Collateral Ligament sprain (MCL) / Meniscus with Kinesiology tape
Published: 2012/03/06
Channel: John Gibbons
Medial Collateral Ligament (MCL) Injuries
Medial Collateral Ligament (MCL) Injuries
Published: 2013/04/05
Channel: Roy Dwyer
BEST EXERCISES FOR MCL INJURY REHABALITATION
BEST EXERCISES FOR MCL INJURY REHABALITATION
Published: 2016/02/16
Channel: Wippe Ⓥ
Full Knee Examination - Part 1 - Medial collateral ligament / lateral collateral ligament
Full Knee Examination - Part 1 - Medial collateral ligament / lateral collateral ligament
Published: 2014/09/21
Channel: John Gibbons
Strengthening Exercises for Medial Collateral Ligament MCL knee Injury rehabilitation
Strengthening Exercises for Medial Collateral Ligament MCL knee Injury rehabilitation
Published: 2010/12/07
Channel: www.sportsinjuryclinic.net
Valgus Stress Test of the Knee⎟Medial Collateral Ligament
Valgus Stress Test of the Knee⎟Medial Collateral Ligament
Published: 2015/11/30
Channel: Physiotutors
MCL Reconstruction Surgery
MCL Reconstruction Surgery
Published: 2015/07/28
Channel: Vail Knee
Can I walk with an MCL injury?
Can I walk with an MCL injury?
Published: 2018/01/12
Channel: Dr. David Geier
Examination Of The Medial Collateral Ligament MCL - Everything You Need To Know - Dr. Nabil Ebraheim
Examination Of The Medial Collateral Ligament MCL - Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2015/08/14
Channel: nabil ebraheim
The medial collateral ligament. Part 1: anatomy
The medial collateral ligament. Part 1: anatomy
Published: 2011/10/31
Channel: AnatomyPhysiotherapy
Elbow Valgus Instability Stress Test⎟Medial Collateral Ligament
Elbow Valgus Instability Stress Test⎟Medial Collateral Ligament
Published: 2015/12/07
Channel: Physiotutors
Will my ACL, MCL, or PCL (Knee Ligament) Tear Heal?? Surgery??
Will my ACL, MCL, or PCL (Knee Ligament) Tear Heal?? Surgery??
Published: 2017/01/18
Channel: physicaltherapyvideo
Varus Stress Test of the Knee⎟Lateral Collateral Ligament
Varus Stress Test of the Knee⎟Lateral Collateral Ligament
Published: 2015/11/30
Channel: Physiotutors
Surgical Technique Medial Collateral Ligament MCL   Acute Meniscotibial Repair
Surgical Technique Medial Collateral Ligament MCL Acute Meniscotibial Repair
Published: 2017/06/10
Channel: ortho tube
Mechanism Of injury In Medial Collateral ligament Of knee simplified (hindi)
Mechanism Of injury In Medial Collateral ligament Of knee simplified (hindi)
Published: 2012/07/27
Channel: mrkunwarss1985
Medial Collateral Ligament MCL Knee Injury Assesment Techniques
Medial Collateral Ligament MCL Knee Injury Assesment Techniques
Published: 2010/12/07
Channel: www.sportsinjuryclinic.net
How to treat Medial knee Pain (MCL Sprain / Medial Meniscus) with Kinesiology Tape
How to treat Medial knee Pain (MCL Sprain / Medial Meniscus) with Kinesiology Tape
Published: 2013/11/05
Channel: John Gibbons
Knee & Medial Collateral Ligament Animation, ©Primal Pictures Ltd
Knee & Medial Collateral Ligament Animation, ©Primal Pictures Ltd
Published: 2009/12/09
Channel: AdvancedTrainings
Medial Collateral Ligament motion in flexion-extension
Medial Collateral Ligament motion in flexion-extension
Published: 2009/01/09
Channel: Roy Wung
Medial Ligament Injuries of the Knee (MCL)
Medial Ligament Injuries of the Knee (MCL)
Published: 2011/06/17
Channel: www.sportsinjuryclinic.net
How to Read Knee MRI of MCL Injury | Complex Knee Surgeon | Colorado
How to Read Knee MRI of MCL Injury | Complex Knee Surgeon | Colorado
Published: 2015/07/30
Channel: Robert LaPrade
Medial Collateral Ligament Stability Test
Medial Collateral Ligament Stability Test
Published: 2013/04/25
Channel: openmichigan
Grade II MCL and medial meniscus tear
Grade II MCL and medial meniscus tear
Published: 2015/03/05
Channel: Margaret Peterson
MCL Knee Reconstruction with Semitendonous Graft
MCL Knee Reconstruction with Semitendonous Graft
Published: 2013/05/08
Channel: OrthopedicDiscovery
How can I fully recover from an MCL injury?
How can I fully recover from an MCL injury?
Published: 2016/10/14
Channel: Dr. David Geier
1st degree mcl sprain
1st degree mcl sprain
Published: 2015/04/03
Channel: Brendan Liakos
2 Degree MCL Rehabilitation
2 Degree MCL Rehabilitation
Published: 2013/03/21
Channel: Logan Spiers
Knee Ligament Palpation
Knee Ligament Palpation
Published: 2007/12/15
Channel: massageceu
MCL Training
MCL Training
Published: 2016/05/25
Channel: Mike Potenza
Medial Collateral Ligament Reconstruction by Dr. Thomas Trumble
Medial Collateral Ligament Reconstruction by Dr. Thomas Trumble
Published: 2013/03/06
Channel: Dr. Thomas Trumble, MD
MCL tear of the knee: Injury, diagnosis, treatment
MCL tear of the knee: Injury, diagnosis, treatment
Published: 2017/01/20
Channel: Dr. David Geier
How to tape a knee - MCL / medial collateral ligament / medial pain / sprain - sports taping series
How to tape a knee - MCL / medial collateral ligament / medial pain / sprain - sports taping series
Published: 2015/05/03
Channel: Joey Hayes
How long does it take an MCL injury to heal?
How long does it take an MCL injury to heal?
Published: 2017/10/06
Channel: Dr. David Geier
How to Tape Medial Collateral Ligament MCL with Kinesio Tape | Strapping Tape
How to Tape Medial Collateral Ligament MCL with Kinesio Tape | Strapping Tape
Published: 2013/04/30
Channel: Fergus Tilt
MCL Injury Symptoms and Treatment
MCL Injury Symptoms and Treatment
Published: 2017/09/02
Channel: Sinew Therapeutics
Knee MCL Taping
Knee MCL Taping
Published: 2013/09/27
Channel: North Queensland Physiotherapy Centre
-10) Medial Collateral Ligament Massage (GetFitivity.com)
-10) Medial Collateral Ligament Massage (GetFitivity.com)
Published: 2015/02/10
Channel: Guy Pistone
Valgus Stress Test | Medial Collateral Ligament
Valgus Stress Test | Medial Collateral Ligament
Published: 2015/03/16
Channel: Physiotutors
KT Tape: Inner Knee
KT Tape: Inner Knee
Published: 2012/01/19
Channel: KT Tape
MCL and LCL Ligaments
MCL and LCL Ligaments
Published: 2013/04/26
Channel: keith doheny
How To Treat an MCL Injury and Speed Recovery
How To Treat an MCL Injury and Speed Recovery
Published: 2017/02/07
Channel: Sinew Therapeutics
Dr Bach Discusses MCL Sprains
Dr Bach Discusses MCL Sprains
Published: 2011/01/27
Channel: Midwest Orthopaedics at Rush
3D How To: Ultrasound Exam of the Medial Collateral Ligament - SonoSite Ultrasound
3D How To: Ultrasound Exam of the Medial Collateral Ligament - SonoSite Ultrasound
Published: 2012/08/14
Channel: SonoSite
Do This Exercise For Medial Knee Pain And MCL Sprain Prevention
Do This Exercise For Medial Knee Pain And MCL Sprain Prevention
Published: 2016/03/30
Channel: Fitness Oriented
MCL rehabiliation
MCL rehabiliation
Published: 2013/10/16
Channel: Christopher Pettit
What is MEDIAL COLLATERAL LIGAMENT? What does MEDIAL COLLATERAL LIGAMENT mean?
What is MEDIAL COLLATERAL LIGAMENT? What does MEDIAL COLLATERAL LIGAMENT mean?
Published: 2017/08/18
Channel: The Audiopedia
MCL Repair with InternalBrace™ Ligament Augmentation
MCL Repair with InternalBrace™ Ligament Augmentation
Published: 2017/07/19
Channel: What's New in Orthopedics
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WIKIPEDIA ARTICLE

From Wikipedia, the free encyclopedia
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Medial collateral ligament
Knee diagram.svg
Diagram of the right knee. (Medial collateral ligament labeled at center right.)
Details
From medial epicondyle of the femur
To medial condyle of tibia
Identifiers
Latin Ligamentum collaterale tibiale
MeSH D017888
TA A03.6.08.012
FMA 44600
Anatomical terminology

The medial collateral ligament (MCL), or tibial collateral ligament (TCL), is one of the four major ligaments of the knee. It is on the medial (inner) side of the knee joint in humans and other primates. Its primary function is to resist valgus forces on the knee.

Structure[edit]

It is a broad, flat, membranous band, situated slightly posterior on the medial side of the knee joint. It is attached proximally to the medial epicondyle of the femur immediately below the adductor tubercle; below to the medial condyle of the tibia and medial surface of its body. It resists forces that would push the knee medially, which would otherwise produce valgus deformity.

The fibers of the posterior part of the ligament are short and incline backward as they descend; they are inserted into the tibia above the groove for the semimembranosus muscle.

The anterior part of the ligament is a flattened band, about 10 centimeters long, which inclines forward as it descends.

It is inserted into the medial surface of the body of the tibia about 2.5 centimeters below the level of the condyle.

Crossing on top of the lower part of the MCL is the pes anserinus, the joined tendons of the sartorius, gracilis, and semitendinosus muscles; a bursa is interposed between the two.

The MCL's deep surface covers the inferior medial genicular vessels and nerve and the anterior portion of the tendon of the semimembranosus muscle, with which it is connected by a few fibers; it is intimately adherent to the medial meniscus.

Development[edit]

Embryologically and phylogenically, the ligament represents the distal portion of the tendon of adductor magnus muscle. In lower animals, adductor magnus inserts into the tibia. Because of this, the ligament occasionally contains muscle fibres. This is an atavistic variation.

Clinical significance[edit]

Injury[edit]

A MCL injury can be very painful and is caused by a valgus stress to a slightly bent knee, often when landing, bending or on high impact. It may be difficult to apply pressure on the injured leg for at least a few days.

The most common knee structure damaged in skiing is the medial collateral ligament, although the carve turn has diminished the incidence somewhat.[1] MCL strains and tears are also fairly common in American football. The center and the guards are the most common victims of this type of injury due to the grip trend on their cleats, although sometimes it can be caused by a helmet striking the knee. The number of football players who get this injury has increased in recent years. Companies are currently trying to develop better cleats that will prevent the injury. MCL is also crucially affected in breaststroke and many professional swimmers suffer from chronic MCL pains.

Treatment[edit]

Depending on the grade of the injury, the lowest grade (grade 1) can take between 2 and 10 weeks for the injury to fully heal. Recovery times for grades 2 and 3 can take several weeks to several months.

Treatment of a partial tear or stretch injury is usually conservative. Physical Therapy should be a first choice option for treatment and diagnosis of injuries to this structure. This includes measures to control inflammation as well as bracing. Kannus has shown good clinical results with conservative care of grade II sprains, but poor results in grade III sprains.[2] As a result, more severe grade III and IV injuries to the MCL that lead to ongoing instability may require arthroscopic surgery. However, the medical literature considers surgery for most MCL injuries to be controversial.[3] Isolated MCL sprains are common.

For higher grade tears of the MCL with ongoing instability, the MCL can be sutured or replaced. Other non-surgical approaches for more severe MCL injuries may include prolotherapy, which has been shown by Reeves in a small RCT to reduce translation on KT-1000 arthrometer versus placebo.[4] The future of non-surgical care for a non-healing MCL injury with laxity (partial ligament tear) is likely bioengineering. Fan et al. (2008) have demonstrated that knee ligament reconstruction is possible using mesenchymal stem cells and a silk scaffold.[5]

Additional Images[edit]

References[edit]

  1. ^ "KNEE INJURIES". www.ski-injury.com. Retrieved October 13, 2013. [unreliable medical source?]
  2. ^ Kannus, P (1988). "Long-term results of conservatively treated medial collateral ligament injuries of the knee joint". Clinical orthopaedics and related research (226): 103–12. doi:10.1097/00003086-198801000-00015. PMID 3335084. 
  3. ^ Indelicato, P. A. (1995). "Isolated Medial Collateral Ligament Injuries in the Knee". The Journal of the American Academy of Orthopaedic Surgeons. 3 (1): 9–14. PMID 10790648. 
  4. ^ Reeves, K. D.; Hassanein, K (2000). "Randomized prospective double-blind placebo-controlled study of dextrose prolotherapy for knee osteoarthritis with or without ACL laxity". Alternative therapies in health and medicine. 6 (2): 68–74, 77–80. PMID 10710805. [unreliable medical source?] Results should be contrasted with meta-analysis such as the one by Rabago et al: Rabago, D; Best, T. M.; Beamsley, M; Patterson, J (2005). "A systematic review of prolotherapy for chronic musculoskeletal pain". Clinical Journal of Sport Medicine. 15 (5): 376–80. PMID 16162983. Lay summaryPubMed Health (April 30, 2007). 
  5. ^ Fan, Hongbin; Liu, Haifeng; Wong, Eugene J.W.; Toh, Siew L.; Goh, James C.H. (2008). "In vivo study of anterior cruciate ligament regeneration using mesenchymal stem cells and silk scaffold". Biomaterials. 29 (23): 3324–37. doi:10.1016/j.biomaterials.2008.04.012. PMID 18462787. 

See also[edit]

External links[edit]

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