Lateral Collateral Ligament Injury (knee)

Case
This professional footballer presented acutely after an injury to his left knee. He described sustaining a varus force to his knee in a tackle followed by immediate pain. On examination he had a small effusion. There was isolated laxity of his lateral collateral ligament in 30 degrees flexion and subtle laxity in full extension. There was no evidence of other ligamentous laxity.

Findings
This player’s x-ray imaging was normal. MRI images show an isolated injury to the lateral collateral ligament. There is high T2 signal and disruption of the normal fibrillary pattern at the fibular attachment of the lateral collateral ligament (consistent with a grade three/full thickness injury). There is a mild volume of bone oedema in the medial femoral condyle (consistent with the varus injury mechanism) and a partial thickness tear of the biceps femoris tendon. The remainder of the posterolateral corner structures are normal. The other ligaments in the knee are also radiologically normal.

Discussion
This player was managed successfully with a period of rehabilitation followed by a progressive return to football. He was able to return to limited football training seven weeks after the injury and played part of a competitive match ten weeks after the injury. He was more comfortable with his knee taped.

Isolated injuries to the lateral collateral ligament are rare but should be suspected when there is a clear history of a varus stress. These injuries often occur in association with injury to other important structures in the knee including the anterior cruciate ligament and the posterolateral corner. These structures should therefore be carefully clinically evaluated. In most cases an MRI scan is useful to confirm the injury but also to exclude other associated injuries. In many cases this injury can be successfully managed with time and rehabilitation. In some situations surgery may be considered.

Important notice
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Jamaleddine@132Ayham alshoufeenRodrigo PeixotoMounirSachin kumar Recent comment authors
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Baba
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Baba

In all cases of injury, imaging resonance imaging is necessary, and in the case of qualification from the first to the second degree, it may be similar to recovery, but it depends on the physical health of the player and the diet.

bangoura
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bangoura

DEVANT UN TRAUMA DU GENOU TOUT MEDECIN DOIT AVOIR A L ESPRIT D EFFECTUER UN EXAMEN PHYSIQUE MUNITIEUX. FAIRE DES EXAMENS COMPLEMENTAIRES: UNE RADIOGRAPHIE NUMERISEE POUR ELIMINER D EVENTUELLES LESIONS OSSEUSES. L IRM OU L ECHOGRAPHIE VIENDRONT CONFIRMER LA PRESENCE D UNE LESION LIGAMENTAIRE OU TENDINEUSE. LE LIGAMENT COLATERAL LATERAL ANATOMIQUEMENT EST SITUE A PROXIMITE DU LCA IL A UN ROLE DE STABILISATEUR STATIQUE TRES VASCULARISE DONC TOUTE ATTEINTE DU LIGAMENT COLATERAL LATERAL PEUT ENTRAINER PROBABLEMENT UNE ATTEINTE DU LCA. CETTE LESION ASSOCIEE A UNE LESION LIGAMENTAIRE DEPENT DU STADE POUR SA PRISE EN CHARGE..DANS LES CAS DE DECHIRURE STADE… Read more »

nader ebrahim Elbasateny
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nader ebrahim Elbasateny

I think by the right rehabilitation the player will be on the write way to full recover and every single injury start with pain but end with successful I rehabilitation and Qualifying over 18 ACL injuries everything return to the player if he want to recover or he want to give up

Majid Abdul Hameed Rasheed
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Majid Abdul Hameed Rasheed

what a wonderful topic that we must master any things about …

Ehab
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Ehab

نعم هذه الإصابات تكون من اصعب الإصابات في كافة الألعاب ويجب علينا كمدربين او لاعبين او مختصين ان نفهم كثيرا بصدد هذا المواضيع لكي تكون لنا فكرة واسعة عنها ان حدثت مستقبلا أمامنا فنستطيع التصرف بحكمة وعبرة من خلال هذة المحاضرات الرائعة من قبلكم بوركتم

Mouaha Pierre Donald
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Mouaha Pierre Donald

Very interesting case, in our country, many players stop playing because of moderate knee ligaments injuries

Dr. Emad khlaif jaber
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Dr. Emad khlaif jaber

The most common injuries to football players

Dr Shahram Mohaghegh
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Dr Shahram Mohaghegh

Dear dr jaber,
According to scientific literature, the most common injuries to football players are MCL sprains. What is your reference for LCL as the most common injuries in football?

Satwika
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Satwika

Great. Most cases of isolated LCL injuries resolve easily without surgical treatment. Thanks for sharing the case.

jvr
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jvr

Bad injury, I had to leave Wembley with the stretcher last year. I play a trophy under 19 and broke my leg.

Sachin kumar
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Sachin kumar

I think surgery should be done in grade 3 tear of LCL otherwise it can be managed conservatively by follow the proper rehabilitation and functional training .

Mounir Ben Salah Kharroubi
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Mounir Ben Salah Kharroubi

الاصابة علي مستوي الركبة من اخطر الاصابات بالنسبة لرياضيين وخاصة الالعاب الجماعية مثل كرة القدم كرة الطائرة

Rodrigo Peixoto dos Santos
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Rodrigo Peixoto dos Santos

Good information! Here is an image that gave me doubts, but the patient’s clinic helped, but I managed to learn in this case! Very interesting how these forces affect the structure

Ayham alshoufeen
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Ayham alshoufeen

Nice cases

Jamaleddine almouhandiz
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Jamaleddine almouhandiz

إصابات صعبة يجب أن تكون لنا معلومات دقيقة عنها