• Lionel Pannunzio PT / SCS

Medial Collateral Ligament Injuries in Soccer Players

Introduction


Medial collateral ligament (MCL) injury is one of the most common knee injuries, especially in young athletic patients.


Anatomy of the Injury






The medial collateral ligament (MCL) is a broad, thick band found on the inside area of the knee. It runs from the upper/inside surface of the shin bone (tibia) to the bottom/inside surface of the thigh bone (femur).

This ligament stabilizes the joint on the inside of the knee. The MCL is one of the most common knee injuries in competitive and recreational soccer. It can occur by itself or in combination with other ligaments.

Incidence and statistics

Lundblad M, Walden M, Magnusson H, et alThe UEFA injury study: 11-year data concerning 346 MCL injuries and time to return to playBr J Sports Med 2013;47:759-762.

This study followed 27 professional European teams over 11 seasons.

This largest series of MCL injuries in professional football In overall terms, 8029 injuries were documented. From those 8029 injuries, 346 (4.3%) were MCL injuries.

The average lay-off was 23 days. Most MCL injuries can be managed conservatively with good results.

When the injury is solely in the MCL, player can recover without the need of surgery.

The MCL is an extra articular ligament with good blood supply that warrants full recovery most of the time.

On the other hand if the MCL is part of an array of injuries like ACL or meniscus that other condition may need surgery but the MCL will heal but itself.MECHANISM OF INJURY ⚽️




Mechanism of Injury



It has been documented that most MCL injuries (75%) occurred with a contact mechanism, where the two most common playing situations were being tackled and tackling.

Other Common Mechanisms

  • Outside stress to the knee (i.e. when the soccer player's foot is caught while preparing to kick the soccer ball with the side of the foot).

  • Combined outside force and outside rotation force to the knee (i.e. when your player's cleat is stuck while attempting to cut away from that side).

  • Direct blow to the outside part of the knee (i.e. from a side tackle).

  • Non-contact through fall to the side with the foot firmly fixed.

How Does it Feel ?

When you experience an MCL injury, you may feel:

1. Pain on the inner side of the knee

2. Swelling and bruising at the inner side of the knee

3. Swelling that spreads to the rest of the knee joint in 1 or 2 days following injury

4. Stiffness in the knee

5. Difficulty or pain especially when trying to bend or straighten the knee

6. An unstable feeling, as though the knee may give out or buckle

7. Pain or difficulty walking, sitting down, rising from a chair, or climbing stairs





Types of Injuries



There are 3️degrees of sprains to the MCL:

A grade 1 MCL injury is the least severe. It means that your ligament has been stretched but not torn.

Recovery from a Grade 1 MCL injury can take from a few days to a week and a half to heal sufficiently for you to return to normal activities, including sports.

A grade 2 MCL injury means that your ligament has been partially torn.

This usually causes some instability in your knee joint. It can take from 3 to 8 weeks.

A grade 3 MCL injury is the most severe type of ligament injury.

It occurs when your ligament has been completely torn.

Joint instability is common in a grade 3 MCL sprain.

Healing time will be 6-12 weeks unless it is associated with damage to the ACL, in which case the recovery time may be longer.

Most MCL injuries can be managed conservatively with good results.

The average lay-off In Professional Soccer was 23 days.

In the amateur or recreational player the average time for recovery will be 6 weeks.

When the injury is solely in the MCL, player can recover without the need of surgery.

The MCL is an extra articular ligament with good blood supply that warrants full recovery most of the time. On the other hand if the MCL is part of an array of injuries like ACL or meniscus, this other condition may need surgery but the MCL will heal but itself. There are some cases that the surgeon will need to reattach ligament through a surgical procedure but it less common.





Conclusion

  • MCL tears are the most common ligament injury in the knee for soccer players

  • Most of the MCL injuries can heal with rehabilitation without surgery

  • The average time for recovery is 6 weeks


Lionel Pannunzio is a Physical Therapist Certified in Sports Injuries. With more than 20 years of experience helping athletes return to their sports after an injury. He is the Owner of White Bay Sports Physical Therapy and Fitness, conveniently located  in the beautiful City of Weston, where he treats Soccer Player, Runners and Athletes of all ages Finally we would like to invite you to follow us  at our: Facebook Page Google Plus Page Instagram Page where you will receive information about your condition and other services we offer, always with the idea of keeping you healthy and fit to enjoy your favorite sport. Lionel Pannunzio Physical Therapist Board-Certified Sports Specialist Owner of White Bay Physical Therapy




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