Combined Anterior Cruciate Ligament and Medial Collateral Ligament Knee Injuries: Anatomy, Diagnosis, Management Recommendations, and Return to Sport

Joshua L. Elkin, Edgar Zamora, Robert Gallo

Research output: Contribution to journalReview article

Abstract

Purpose of review: The diagnosis and management of combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries have been a controversial topic for several decades. No single approach has proven optimal for treatment and there is no consensus between most specialists. This review seeks to describe and clarify the current state and the future of management. Recent findings: Most authors agree on reconstructing of the ACL with non-operative management of the MCL in grade I and II injuries, respectively. However, controversy still exists about the optimal method of treating a combined ACL with higher grade MCL injuries. Summary: Management should be customized based on acuity, injury grade, and specific goals for each patient. Future research with clinical outcomes may facilitate creating guidelines to optimize recovery.

Original languageEnglish (US)
JournalCurrent Reviews in Musculoskeletal Medicine
DOIs
StatePublished - Jan 1 2019

Fingerprint

Knee Injuries
Collateral Ligaments
Anterior Cruciate Ligament
Anatomy
Wounds and Injuries
Guidelines
Return to Sport
Therapeutics

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

Cite this

@article{de2b9ee6633a47d999665b2d13b158d5,
title = "Combined Anterior Cruciate Ligament and Medial Collateral Ligament Knee Injuries: Anatomy, Diagnosis, Management Recommendations, and Return to Sport",
abstract = "Purpose of review: The diagnosis and management of combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries have been a controversial topic for several decades. No single approach has proven optimal for treatment and there is no consensus between most specialists. This review seeks to describe and clarify the current state and the future of management. Recent findings: Most authors agree on reconstructing of the ACL with non-operative management of the MCL in grade I and II injuries, respectively. However, controversy still exists about the optimal method of treating a combined ACL with higher grade MCL injuries. Summary: Management should be customized based on acuity, injury grade, and specific goals for each patient. Future research with clinical outcomes may facilitate creating guidelines to optimize recovery.",
author = "Elkin, {Joshua L.} and Edgar Zamora and Robert Gallo",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s12178-019-09549-3",
language = "English (US)",
journal = "Current Reviews in Musculoskeletal Medicine",
issn = "1935-9748",
publisher = "Humana Press",

}

TY - JOUR

T1 - Combined Anterior Cruciate Ligament and Medial Collateral Ligament Knee Injuries

T2 - Anatomy, Diagnosis, Management Recommendations, and Return to Sport

AU - Elkin, Joshua L.

AU - Zamora, Edgar

AU - Gallo, Robert

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Purpose of review: The diagnosis and management of combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries have been a controversial topic for several decades. No single approach has proven optimal for treatment and there is no consensus between most specialists. This review seeks to describe and clarify the current state and the future of management. Recent findings: Most authors agree on reconstructing of the ACL with non-operative management of the MCL in grade I and II injuries, respectively. However, controversy still exists about the optimal method of treating a combined ACL with higher grade MCL injuries. Summary: Management should be customized based on acuity, injury grade, and specific goals for each patient. Future research with clinical outcomes may facilitate creating guidelines to optimize recovery.

AB - Purpose of review: The diagnosis and management of combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries have been a controversial topic for several decades. No single approach has proven optimal for treatment and there is no consensus between most specialists. This review seeks to describe and clarify the current state and the future of management. Recent findings: Most authors agree on reconstructing of the ACL with non-operative management of the MCL in grade I and II injuries, respectively. However, controversy still exists about the optimal method of treating a combined ACL with higher grade MCL injuries. Summary: Management should be customized based on acuity, injury grade, and specific goals for each patient. Future research with clinical outcomes may facilitate creating guidelines to optimize recovery.

UR - http://www.scopus.com/inward/record.url?scp=85064333771&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064333771&partnerID=8YFLogxK

U2 - 10.1007/s12178-019-09549-3

DO - 10.1007/s12178-019-09549-3

M3 - Review article

C2 - 30929138

AN - SCOPUS:85064333771

JO - Current Reviews in Musculoskeletal Medicine

JF - Current Reviews in Musculoskeletal Medicine

SN - 1935-9748

ER -