Initial evaluation begins with a medical history, physical examination, and x-rays
to rule out other associated injuries. Specialieed physical examination maneuvers
may be done to determine the extent of the injury.
Initial treatment of an MCL injury is nonsurgical treatment including pain and swelling
control. Crutches, a knee brace, and physical therapy may be recommended. If there
is clinical suspicion of a complete tear or additional injury to the knee an MRI
will be ordered. Occasionally the MCL may be torn in a way that will not heal and
surgical treatment may be considered.
Surgical treatment of an MCL tear is done as an outpatient where the ligament is
repaired. In a chronic injury, graft may be used to supplement the repair. Recovery
typically takes 6-12 weeks with physical therapy.