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Grade 3 Disruption of MCL?

Exit forum ID Forum Discussion Grade 3 Disruption of MCL?

This topic contains 2 replies, has 2 voices, and was last updated by   William Brady, DC July 4, 2016 at 11:16 am.

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  • #2094

    Christopher Stepien
    Participant

      I have a 23 year old rugby player who has a grade 3 disruption of the distal attachment of the MCL.

      Google says that these injuries don’t always need surgery, although a “grade 3” disruption says it’s a complete tear.  I don’t understand how a complete tear doesn’t require surgery.

      This patient is now sprinting again, although he cannot pivot off that foot without pain.  I feel like he’s a ticking time bomb and have told him not to sprint, but I would like to know further.

      Any experience with these types of injuries?

       

      #2118

      William Brady, DC
      Participant

        Yes, grade 3 is a complete tear. Yes, surgical repair is rarely necessary… but those are generalities.

        How long ago was it torn? What does the stability look like? Does it gap more than a centimeter with valgus stress test? Did he just tear the MCL or ACL too? Did you do an exam? What were the ID tests? Is there room for progress there?

        #1942

        Christopher Stepien
        Participant

          Very helpful. I have all of this at the office. The only thing I didn’t test is the 1 cm of movement during the valgus stress.  He is running longer and longer periods of time with some AM soreness the  next day. I will check this test the next time I see him and give the full report if I need to when I have his file in front of me.

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