Medial collateral ligament injury grading

Changed by Dai Roberts, 11 Mar 2021

Updates to Article Attributes

Body was changed:

Medial collateral ligament (MCL) injuries are graded into three groups on MRI, much in the same way as many other ligaments:

  • grade 1: (minor sprain) high signal is seen medial (superficial) to the ligament, which looks normal
  • grade 2: (severe sprain or partial tear) high signal is seen medial to the ligament, with high signal or partial disruption of the ligament
  • grade 3: complete disruption of the ligament

As a general rule, the MCL is not repaired in the general population if it is an isolated injury. In athletes, grade 3 injuries often require surgical repair 1.

After a few weeks, it may appear as a Pellegrini-Stieda syndrome or a Pellegrini-Stieda (PS) lesion, a post-traumatic/post-avulsion calcification of the proximal medial collateral ligament.

See also

  • -<li><a title="Medial collateral ligament injury" href="/articles/medial-collateral-ligament-injury">medial collateral ligament injury</a></li>
  • +<li><a href="/articles/medial-collateral-ligament-injury">medial collateral ligament injury</a></li>
  • +<li><a title="Posteromedial corner injury of the knee" href="/articles/posteromedial-corner-injury-of-the-knee">posteromedial corner injury</a></li>

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