Managing Collateral Ligament Tears of the Knee

In brief

Medial collateral ligament and brief lateral collateral ligament (LCL) tears are common sequelae of varus or valgus knee injuries. Assessment, focusing on the physical exam, requires a high degree of suspicion for associated cruciate ligament, meniscus, and posterolateral or posteromedial corner injuries. Nonoperative treatment consisting of RICE, pain modalities, activity modification, and protection with a hinged brace is standard for most injuries. Grade 3 LCL tears usually require surgery. Functional rehabilitation begins immediately. Return to play is generally allowed when the player has regained 90% of usual strength.

Additional information

Notes on contributors

Robert J. Meislin

Dr Meislin is an orthopedic surgeon at Phoenix Orthopedic Group, PC, in Phoenix, Arizona. He is a member of the National Football League Physician's Society and the Arthroscopy Association of North America.