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Medial / lateral collateral ligament (MCL / LCL) lesions

For isolated lesion of the medial collateral ligament (MCL) patient reports a valgus trauma (knees inward) without rotation; varus trauma that leads instead to a lesion of the lateral collateral (LCL) is not a common occurrence, so here we will describe only the conservative treatment after MCL injury.

The medial collateral ligament (MCL) in question is very innervated and vascularized, therefore, during the early stages of treatment will be important to avoid the rotation and valgus open loop movements (without the support of the foot on the ground) that trigger a sudden pain and stinging.

The treatment involves strengthening the muscles that stabilize the knee medially as the vast media, adductors, medial flexor and medial twin and the muscles of the bridle. Subsequently will be performed exercises that functionally limit the valgus as hip external rotators, and the gluteus muscles of the core exercises for balance, stability and proprioception.

During rehabilitation the pain usually persists for a long time so it is very important to inform the patient and make a long and gradual recovery of the sports movement in the phase of the rehabilitation field.

It is important to perform the Movement analysis test (MAT) in the Green room especially with regard to relapse after jumping and changing direction at 90 ° and 180 ° to educate the correct motor strategies and avoid re-injury.

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