Medial collateral ligament (MCL) injury of the knee

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The medial collateral ligament provides stability to the knee and limits its movement from side to side. It connects the femur, which is the thigh bone, with the upper part of the tibia, which is one of the bones that make up the leg. Injuries to this ligament are secondary to excessive stretching, often associated with a partial or complete tear of the ligament. It is one of the most common injuries in athletes. The classic injury is when the foot is firmly placed on the floor while the body abruptly changes position. It may be accompanied by multiple ligament injuries. The most common symptoms are instability and pain in the inner part of the knee. Diagnosis is performed by consultation and physical examination. In severe cases, there will also be an MRI scan. Initial treatment in mild injuries is rest, ice applied locally, compression bandaging and elevating the limb. More severe sprains may require surgery.
Bibliographic references
  1. William W Dexter. Medial collateral ligament injury of the knee. UpToDate. Mayo 2016
  2. Fanelli GC. Surgical treatment of acute medial collateral ligament and posteromedial corner injuries of the knee. Sports Med Arthrosc 2006; 14:78.
  3. LaPrade RF. Clinically relevant anatomy and what anatomic reconstruction means. Knee Surg Sports Traumatol Arthrosc 2015; 23:2950.
  4. Craft JA, Kurzweil PR. Physical examination and imaging of medial collateral ligament and posteromedial corner of the knee. Sports Med Arthrosc 2015; 23:e1.
  5. Takagi T. Traction injury of common peroneal nerve associated with multiple ligamentous rupture of the knee: a case report. Microsurgery 2002; 22:339.
  6. Creighton, RA. Basic Science of Ligament Healing: Medial Collateral Ligament Healing With and Without Treatment. Sports Med Arthrosc 2005; 13:145.
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Locked knee


    Pain in the inner lateral side of the knee


    Unstable knee


    Knee pain


    Knee pain increase when bearing weight

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Pain that does not subside with analgesics.

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Relative rest, rest until symptoms subside.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Avoid sudden movements.