Stemcelldoc's Weblog

November 23, 2011

Medial Collateral Ligament: It importance and Treatment Options

The Centeno-Schultz Clinic provides state of the art non-surgical treatments for knee pain and injuries.

The medial collateral ligament(MCL) is one of the four major ligaments of the knee.  A ligament consists of tough fibrous material and connects one bone to another.  Ligaments can be thought of as the duct tape that keeps a given joint intact.  Ortho 2.o reviews the importance of ligamental strength and integrity.

 The MCL also functions to resists forces that push the knee inwardly (medially).

It originates below the adductor tubercle on the medial condyle of the femur and inserts upon the inner surface of the tibia.

Injury to the MCL is painful and commonly occurs in football and skiing where excessive valgus forces are placed on a slightly bent knee.

Injures to the MCL are graded 1, 2 or 3 depending on the degree of damage sustained

  • Grade I MCL Tear
    This is an incomplete tear of the MCL. The tendon is still in continuity and the symptoms are usually minimal.
  • Grade II MCL Tear
    Grade II injuries are  considered incomplete tears of the MCL.  Instability may be present along with pain and swelling.
  • Grade III MCL Tear
    A grade III injury is a complete tear of the MCL. Patients have significant pain and swelling and often have difficulty bending the knee. Instability is common.

Treatment of a partial tears is usually conservative.  Non-surgical therapies include prolotherapy, PRP and stem cells.  Reeves has demonstrated the successful use of prolotherapy in knee osteoarthritis and ligamental instability.

Dr. Centeno’s recent book chapter outlines the use of stem cells in orthopedic injuries.  Additiional information on the treatment of othropedic injuries with stem cells  is available online.

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