MCL Insufficiency
Aetiology
Throwing injury
- seen in the throwing athlete
- repetitive microtrauma / valgus stress
- develop laxity
History
Initially
- lose velocity / accuracy
Develop medial pain
40% ulna nerve symptoms
Throwing injury
- seen in the throwing athlete
- repetitive microtrauma / valgus stress
- develop laxity
Initially
- lose velocity / accuracy
Develop medial pain
40% ulna nerve symptoms
6 /100 000
- second most common dislocation after shoulder
FOOSH
1. Seebacher's 3 layers of the medial knee
Layer 1
- sartorius and sartorius fascia
Layer 2
- superficial MCL
- posterior oblique ligament
- semimembranosus
Layer 3
- deep MCL (meniscofemoral and meniscotibial ligament)
- posteromedial capsule
2. MCL
Superficial MCL