• Injuries to the medial collateral ligament (MCL)—most common ligamentous injury of the knee
  • Mechanism  – valgus knee loading, external rotation, or both
  • Valgus stress test at both 0° and 30° of knee flexion – increased medial joint opening and diminished endpoint
  • MRI can assess the integrity, severity and location 
  • Non operative management for grade I and II
  • Complete MCL injury – nonoperative management may be inadequate
  • Single- and double-bundle anatomic and nonanatomic reconstructions with varying graft options and fixation methods

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