J Knee Surg 2012; 25(01): 079-082
DOI: 10.1055/s-0031-1286197
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Deep Medial Collateral Ligament Tear during Knee Arthroscopy

Sumon Nandi
1   Department of Orthopedic Surgery, New England Baptist Hospital, Boston, Massachusetts
,
Richard Parker
2   Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations
Further Information

Publication History

07 October 2010

18 June 2011

Publication Date:
04 October 2011 (online)

Abstract

We report herein deep medial collateral ligament (MCL) tear of the knee with application of valgus stress during arthroscopic partial medial meniscectomy. With symptomatic treatment only, the patient went on to heal this injury without incident and recovered in an expected fashion from arthroscopic surgery. There is no earlier report in the literature of deep MCL tear during knee arthroscopy. Awareness of this entity, its consequences, and optimal management are essential as arthroscopic partial meniscectomy is the most common surgery performed by orthopedic surgeons.

 
  • References

  • 1 Wijdicks CA, Griffith CJ, Johansen S, Engebretsen L, LaPrade RF. Injuries to the medial collateral ligament and associated medial structures of the knee. J Bone Joint Surg Am 2010; 92 (5) 1266-1280
  • 2 Injuries ML. Medial collateral ligament injuries in adults. In: DeLee JC, Drez D, Miller MD, eds. Delee & Drez's Orthopaedic Sports Medicine: Principles and Practice. Philadelphia: Saunders; 2009
  • 3 Warren LF, Marshall JL. The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg Am 1979; 61 (1) 56-62
  • 4 Jacobson KE, Chi FS. Evaluation and treatment of medial collateral ligament and medial-sided injuries of the knee. Sports Med Arthrosc 2006; 14 (2) 58-66
  • 5 Indelicato PA. Nonoperative management of complete tears of the medial collateral ligament. Orthop Rev 1989; 18 (9) 947-952
  • 6 Indelicato PA, Hermansdorfer J, Huegel M. Nonoperative management of complete tears of the medial collateral ligament of the knee in intercollegiate football players. Clin Orthop Relat Res 1990; 256 (256) 174-177
  • 7 Kannus P, Järvinen M. Nonoperative treatment of acute knee ligament injuries. A review with special reference to indications and methods. Sports Med 1990; 9 (4) 244-260
  • 8 Narvani A, Mahmud T, Lavelle J, Williams A. Injury to the proximal deep medial collateral ligament: a problematical subgroup of injuries. J Bone Joint Surg Br 2010; 92 (7) 949-953