What Tests are Done For a MCL Injury – Dr. Lubliner is the Premier MCL Expert in NYC
Athletes who incur injuries to their knee are often advised to seek medical help immediately, so that tests can be done to determine if they have an MCL injury or any other injuries related to their tendons or ligaments. Below are tests that are carried out to verify if athletes have incurred any type of MCL injuries:
The objective of a physical examination is to establish MCL injury, assess its severity, and diagnose any associated injuries. The injured knee needs to be examined and palpated with a methodical approach. The existence and location of localized soft tissue swelling or knee effusion, point tenderness, ecchymosis and/or deformity should be distinguished.
The length of time that intervened from injury to commencement of pain and swelling offers evidence to the pathology involved, for instance an acute effusion that occurs within two hours of the MCL injury implies haemarthrosis. The swelling will appear within 12 to 24 hours after the injury occurred, which typically signifies a synovial effusion. When there is presence of harmarthrosis, it means that the athlete has injured his ACL. The location of the wound along the superficial MCL generally links closely with the region of tenderness and oedema.
Other Tests Needed to Verify the Injury Type
The Anterior Drawer Test – This is seen as the most reliable technique for assessing anteromedial rotator instability that can exist with or without any associated ACL injuries. This anterior drawer test is performed with the patient’s foot in external rotation and knee flexed at 90 degree.
The Posterior Drawer Test – This test is performed the same way as the anterior drawer test. However, it is conducted with a push on the patient’s tibia.
The Lachman’s Test – This particular test is ideal for assessing the MCL injury. The patient’s knee is put in a 30-degree flexion and the physician will use one hand to grip the patient’s lower thigh above his knee and the other hand grips around his upper tibia with his thumb on his (patient’s) tibial tuberosity. His tibia is thereafter pulled anteriorly.
The Pivot Shift Test – The pivot shift test can also be used to verify if an athlete has injured his MCL. A physician performs an internal rotation and at the same time, he applies valgus stress on the injured knee, taking it from 20 to 40-degree flexion.
Any athletes who have injured their knee and who want to obtain a proper diagnosis should consult Dr. Jerry Lubliner. He is a reputable orthopedic surgeon who has been practicing medicine for over 3 decades. Call 646-593-7305 to arrange an appointment for a MCL injury check-up, or click the link below to receive a call back soon.