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Author Topic: MCL grade 3 tear  (Read 1838 times)

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Offline Credekop

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MCL grade 3 tear
« on: July 07, 2011, 08:31:34 PM »
I tore my MCL playing soccer last week. Someone fell on the outside of my knee dislocating my kneecap and tearing my MCL. I have a lot of bruising and swelling on the inside of my knee.

The therapist told me that even with a full tear, an MCL can repair itself. How is this possible? After the ligament has pulled apart or has torn from the bone, how can the ends find each other and heal over?

Something else interesting about my injury, I have no pain and bare my full weight. I only have sworeness and stifness around the swelling.

Offline sanjiv

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Re: MCL grade 3 tear
« Reply #1 on: July 08, 2011, 03:12:08 AM »
My OS said that most MCLs heal on their own because there is good blood flow along the MCL, but about 2% need surgical intervention.  However, a therapist wouldn't be able to make that diagnosis.  For me it took an MRI to determine whether or not my MCL would heal on its own (it wouldn't).
1/29/11 PCL, ACL, MCL complete tears + meniscus partial tear
2/15/11 Repair MCL, PCL allograft, meniscus repair
5/17/11 Scoping & MUA
8/30/11 ACL allograft

Offline allyd

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Re: MCL grade 3 tear
« Reply #2 on: July 08, 2011, 03:34:46 AM »
I also had a grade 3 MCL tear. Sanjiv is right, my OS told me the same thing, good blood flow and very rare for it not to heal on its own and if you are going to tear something, thats the one! A good OS should be able to diagnose the tear w/out an MRI. If there are any lingering problems I'd suspect then an MRI would be ordered. Lucky for me, in my case the MCL healed up just fine.
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline Karen10

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Re: MCL grade 3 tear
« Reply #3 on: July 08, 2011, 04:18:19 PM »
I am new to this board and posted this week regarding my phobia of doctors as I ruptured my acl, mcl and chipped a piece of cartilage off.  I have, today, had my plaster removed after 8 weeks to allow my mcl to heal.  I hope it is of some help for you to know that my consultant said my mcl had healed adequately, and that is from a complete tear.  I, like you, was also sceptical about whether this could happen but it does appear to have done so here's hoping you have the same success.

Good luck

Karen

Offline Credekop

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Re: MCL grade 3 tear
« Reply #4 on: July 12, 2011, 01:45:04 AM »
If the ligament heals from a full tear, does scar tissue fill the gap?

And does this mean the ligament will be looser than the original MCL without the tear?

Also, any comments on the fact that I don't any pain?

Offline allyd

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Re: MCL grade 3 tear
« Reply #5 on: July 12, 2011, 03:28:01 AM »
Scar Tissue can develop, but the ligament itself will heal with normal tissue. Keeping active ROM with MCL tears is important to break up/avoid scar tissue. Get on a bike some if you can manage, they are perfect for rehabing MCL tears. I cant tell you the exact science of it, but its rare for the MCL to not heal back to "normal" length and tightness. It has a lot to do with the "type" of tissue the ligament is made of and the fact the ligament has good blood supply. Where as the ACL for example has little to no blood supply, and will not heal.  

In terms of no pain. Not sure I can help. Maybe you had a clean tear of the MCL without disrupting a lot of the other tissues around the knee? Just taking a guess. I had dislocated my kneecap and pretty much tore everything up on the inside of the knee, and had quite a bit of pain the first week while that all settled down, but not much after. I could full weight bear the entire time though, the knee was just shaky and unstable from the tear.

Overall, if you have concerns about how it is healing. See a doctor. They will be able to best tell you if it is healing well or not. MCL laxity can be assessed in a physical exam with a simple valgus stress test.
04/09 RK - Dislocated Patella & Grade III MCL Tear
06/10 RK - Re-Dislocation Patella
09/11 RK - MPFLr + Lateral Lengthening

Offline Credekop

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Re: MCL grade 3 tear
« Reply #6 on: July 13, 2011, 04:13:18 AM »
Excellent info. Thanks.

This makes me feel better about a full recovery. I'll still be following up with the doctor about my injury but it's a long wait to get in to see specialist. Understanding the injury helps me make more informed decisions in the rehab process and whether or not I should be pushing to see a specialist sooner.















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