Saturday, 18 August 2007

Medial Collateral Ligament Rupture

Ahmad is a 24 yrs old cook with a gourmet restaurant met with an accident on his way back from work. He had severe pain on the inner aspect of his left knee and could hardly walk. He had difficulty straightening his knee fully and could not bend his knee.

I examined his knee and found that he had some localised swelling over the femoral attachment of the Medial Collateral Ligament (MCL). Ahmed told me that that was the spot that he collided with the motorcycle. I did the valgus stress test and found that the MCL was torn completely. He was advised to use a Functional knee brace for another 4 weeks while starting his rehabilitation programme. He was concerned as he would not be able to come for the rehabiltiation exercises. He opted instead to use a crepe bandaged wrapped to support the MCL. He was advised to apply RICE treatment to reduce the pain and swelling. He may benefit from an X-ray of his knee and an Ultrasound scan of the MCL.

To be continued...

No comments: