Lateral Collateral Knee Ligament Injury Treatment & Management

  • Author: Sherwin SW Ho, MD; Chief Editor: Sherwin SW Ho, MD   more...
 
Updated: Feb 28, 2010
 

Acute Phase

Rehabilitation Program

Physical Therapy

For grade I and II LCL injuries, the suggested treatment includes rest, ice, compression, elevation (RICE), and non–weight-bearing restriction with the use of crutches. Hinged bracing may also be helpful. Grade III injuries, those usually involving a tear of posterolateral capsular complex, are best treated with surgical intervention.[4] A return to full-weight-bearing gait should be gradual over the course of 4 weeks.

Surgical Intervention

Grade III tears usually involve a tear in the posterolateral capsular complex and are best treated with surgical intervention.[4]

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Recovery Phase

Rehabilitation Program

Physical Therapy

Physical therapy consists of early range-of-motion (ROM) exercises, particularly cycling and quadriceps-strengthening exercises.

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Contributor Information and Disclosures
Author

Sherwin SW Ho, MD  Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America

Disclosure: Nothing to disclose.

Coauthor(s)

Brad C Erikson, DO  Consulting Staff, Shelley Family Medical Center

Brad C Erikson, DO is a member of the following medical societies: American Academy of Family Physicians

Disclosure: Nothing to disclose.

Specialty Editor Board

Leslie Milne, MD  Assistant Clinical Instructor, Department of Emergency Medicine, Harvard University School of Medicine

Leslie Milne, MD is a member of the following medical societies: American College of Sports Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

Henry T Goitz, MD  Academic Chair and Associate Director, Detroit Medical Center Sports Medicine Institute; Director, Education, Research, and Injury Prevention Center; Co-Director, Orthopaedic Sports Medicine Fellowship

Henry T Goitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Orthopaedic Society for Sports Medicine

Disclosure: Nothing to disclose.

Jon B Whitehurst, MD  Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner and Executive Board Member, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital

Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America

Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD  Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America

Disclosure: Nothing to disclose.

References
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  2. Snider RK, ed. Essentials of Musculoskeletal Care. Rosemont, Ill: American Academy of Orthopaedic Surgeons; 2000:336-8.

  3. Griffin LY. Acute knee injuries. Sports Medicine. New York, NY: John Wiley & Sons, Inc; 1994:2255-60.

  4. Krukhaug Y, Mølster A, Rodt A, Strand T. Lateral ligament injuries of the knee. Knee Surg Sports Traumatol Arthrosc. 1998;6(1):21-5. [Medline].

  5. Bahk MS, Cosgarea AJ. Physical examination and imaging of the lateral collateral ligament and posterolateral corner of the knee. Sports Med Arthrosc. Mar 2006;14(1):12-9. [Medline].

  6. Beall DP, Googe JD, Moss JT, et al. Magnetic resonance imaging of the collateral ligaments and the anatomic quadrants of the knee. Magn Reson Imaging Clin N Am. Feb 2007;15(1):53-72. [Medline].

  7. Bolog N, Hodler J. MR imaging of the posterolateral corner of the knee. Skeletal Radiol. Aug 2007;36(8):715-28. [Medline].

  8. Coobs BR, LaPrade RF, Griffith CJ, Nelson BJ. Biomechanical analysis of an isolated fibular (lateral) collateral ligament reconstruction using an autogenous semitendinosus graft. Am J Sports Med. Sep 2007;35(9):1521-7. [Medline].

  9. Johnson D. Management of the multi-ligament injured knee. Paper presented at: Biannual Congress of International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine; 1999; Washington, DC.

  10. Majewski M, Susanne H, Klaus S. Epidemiology of athletic knee injuries: A 10-year study. Knee. Jun 2006;13(3):184-8. [Medline].

  11. Medvecky MJ, Zazulak BT, Hewett TE. A multidisciplinary approach to the evaluation, reconstruction and rehabilitation of the multi-ligament injured athlete. Sports Med. 2007;37(2):169-87. [Medline].

  12. Murphy KP, Helgeson MD, Lehman RA Jr. Surgical treatment of acute lateral collateral ligament and posterolateral corner injuries. Sports Med Arthrosc. Mar 2006;14(1):23-7. [Medline].

  13. Noyes FR, Barber-Westin SD. Posterolateral knee reconstruction with an anatomical bone-patellar tendon-bone reconstruction of the fibular collateral ligament. Am J Sports Med. Feb 2007;35(2):259-73. [Medline].

  14. Paletta GA, Warren RF. Knee injuries and Alpine skiing. Treatment and rehabilitation. Sports Med. Jun 1994;17(6):411-23. [Medline].

  15. Ruiz ME, Erickson SJ. Medial and lateral supporting structures of the knee. Normal MR imaging anatomy and pathologic findings. Magn Reson Imaging Clin N Am. Aug 1994;2(3):381-99. [Medline].

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