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The medial collateral ligament (MCL), also called the superficial medial collateral ligament (sMCL) or tibial collateral ligament (TCL), [1] is one of the major ligaments of the knee. It is on the medial (inner) side of the knee joint and occurs in humans and other primates.
This complex is the major stabilizer of the medial knee. Injuries to the medial side of the knee are most commonly isolated to these ligaments. [1] [3] A thorough understanding of the anatomy and function of the medial knee structures, along with a detailed history and physical exam, are imperative to diagnosing and treating these injuries.
The unhappy triad, also known as a blown knee among other names, is an injury to the anterior cruciate ligament, medial collateral ligament, and meniscus.Analysis during the 1990s indicated that this 'classic' O'Donoghue triad is actually an unusual clinical entity among athletes with knee injuries.
The infrapatellar plica, in front of the anterior cruciate ligament, reaches from the intercondylar notch to the infrapatellar fat pad; The medial patellar plica, located adjacent to the patella's medial facet, runs vertically along the medial joint capsule
Typically there is a tear of the anterior cruciate ligament, posterior cruciate ligament, and either the medial collateral ligament or lateral collateral ligament. [3] If the ankle–brachial pressure index is less than 0.9, CT angiography is recommended to detect blood vessel injury. [3] Otherwise repeated physical exams may be sufficient. [2]
the medial gastrocnemius (subtendinous) bursa between the medial head of the gastrocnemius and the joint capsule [2] the anserine bursa between the medial (tibial) collateral ligament and the pes anserinus – the conjoined tendons of the sartorius , gracilis , and semitendinosus muscles .
Pellegrini-Stieda syndrome is an insult to the medial collateral ligament (MCL), causing damage and acute inflammation that sets into motion and delays ossification. [2] This insult is described as a macro trauma causing valgus stress with disruption of the MCL fibers.
The medial meniscus is a fibrocartilage semicircular band that spans the knee joint medially, located between the medial condyle of the femur and the medial condyle of the tibia. [1] It is also referred to as the internal semilunar fibrocartilage. The medial meniscus has more of a crescent shape while the lateral meniscus is more circular.
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