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J Am Acad Orthop Surg, Vol 17, No 3, March 2009, 152-161.
© 2009 the American Academy of Orthopaedic Surgeons
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Treatment of Medial Collateral Ligament Injuries

Ryan G. Miyamoto, MD, Joseph A. Bosco, MD and Orrin H. Sherman, MD

Dr. Miyamoto is Sports Medicine Fellow, Steadman-Hawkins Clinic, Vail, CO. Dr. Bosco is Assistant Professor, Department of Orthopaedic Surgery, and Vice Chairman for Clinical Affairs, NYU–Hospital for Joint Diseases, New York, NY. Dr. Sherman is Associate Professor and Chief of Sports Medicine, Department of Orthopaedic Surgery, NYU–Hospital for Joint Diseases.

Dr. Bosco or a member of his immediate family serves as a board member, owner, officer, or committee member of the American Orthopaedic Society for Sports Medicine; is affiliated with the bulletin of the Hospital for Joint Diseases; and has received research or institutional support from Johnson & Johnson. Dr. Sherman or a member of his immediate family has received research or institutional support from Arthrex, Mitek, and Smith & Nephew. Neither Dr. Miyamoto nor a member of his immediate family has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article.

Ryan G. Miyamoto, MD, et al

Reprint requests: Dr. Miyamoto, Steadman-Hawkins Clinic, 181 West Meadow Drive, Vail, CO 81675.

The medial collateral ligament is the most frequently injured ligament of the knee. The anatomy and biomechanical role of this ligament and the associated posteromedial structures of the knee continue to be explored. Prophylactic knee bracing has shown promise in preventing injury to the medial collateral ligament, although perhaps at the cost of functional performance. Most isolated injuries are treated nonsurgically. Recent studies have investigated ligament-healing variables, including modalities such as ultrasound and nonsteroidal anti-inflammatory drugs. Concomitant damage to the anterior or posterior cruciate ligaments is a common indication to surgically address the high-grade medial collateral ligament injury. The optimal treatment of multiligamentous knee injuries continues to evolve, and controversy exists surrounding the role of medial collateral ligament repair/reconstruction, with data supporting both conservative and surgical management.






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Copyright © 2009 by the American Academy of Orthopaedic Surgeons.