Lateral Collateral Ligament: Anatomy, Function, Injury, and Treatment

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  • čas přidán 22. 01. 2020
  • In this episode Jason Coggins PA-C reviews the anatomy, function, injury to, and treatment of the lateral collateral ligament of the knee.

Komentáře • 74

  • @henrywolfbauer2927
    @henrywolfbauer2927 Před 2 lety +3

    Best doctor handwriting of all time

  • @Haynesdoessports
    @Haynesdoessports Před rokem

    Amazing detail

  • @Aceland1
    @Aceland1 Před rokem +4

    Thanks for a very nice and informative video. Struggling with a partial tear and this helped me understand what's actually happened. Thanks again!

    • @basicsofortho7351
      @basicsofortho7351  Před rokem

      Wish you a speedy recovery! Thanks for viewing and commenting. Glad you found it helpful.

    • @itsWantedd
      @itsWantedd Před 10 měsíci

      I got Knee bar’d at a jiu jitsu competition and heard a click in the lcl. Now my knee just buckles randomly .

  • @minooshirazi2008
    @minooshirazi2008 Před 3 lety +1

    It was very informative. Great video. Thank you so much.

  • @egraciosa
    @egraciosa Před 3 lety +1

    Very well discussed. Very valuable info

  • @marcdeboer1280
    @marcdeboer1280 Před 3 lety

    Great info, thanks for the knowledge!

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety +1

      Thanks, for watching and the comment Marc! I’m glad you find the information helpful.

  • @billylusk7207
    @billylusk7207 Před 3 lety

    Excellent video, thanks

  • @chaivatk
    @chaivatk Před 2 lety

    Very useful for me. Thank you very much.

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety

      I appreciate you viewing the channel and am glad that you find it useful! Best wishes.

  • @wassanahmed4840
    @wassanahmed4840 Před 3 lety

    Great video

  • @avadhootpatil1895
    @avadhootpatil1895 Před 3 lety +1

    Great information.. Thanks for your help to recover my LCL Injury

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety

      Glad you found it helpful. Hope for a speedy recovery for you. Thanks!

  • @firechick561
    @firechick561 Před rokem

    I was injured years ago doing ladder drills with our Vol Fire Company. It happened when practicing stepping up/down with all weight plus gear & hose on one leg while wrapping the other leg in & through one ring. I felt the lateral ligament give way. Never had it examined or x-rayed, just wrapped & to allow it to heal. And the turn-out gear was stiff and acted as a support to that ligament when having to kneel.
    But now, 20 years later, I re-injured it.... Just wanted to explain the scenario since it did not occur from typical tramaor sports injury, only excessive weight.

  • @chavitoracing
    @chavitoracing Před 2 lety

    Well explained

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety

      So glad that you found the video informative. Thank you for viewing and commenting!

  • @CameronQuaid
    @CameronQuaid Před rokem +2

    Very informative video! I recently tore my lcl and received the following information post MRI
    IMPRESSION:
    There is a partial-thickness tear through the lateral collateral ligament. There is increased signal seen in the anterior fibers of the biceps femoris tendon at the insertion on the fibular head partial-thickness tearing.
    My question is: is it possible for a partial thickness tear to heal without surgical intervention? As an avid surfer, knee stabilization is paramount.
    Thanks again for the great video!

    • @basicsofortho7351
      @basicsofortho7351  Před rokem

      Wish you a speedy recovery! Thanks for viewing and commenting. Glad you found it helpful.

  • @farahfarahin197
    @farahfarahin197 Před 2 lety +1

    Hi!! thank you for the info n very great video!. may i ask, is it the hx is the same with the pathopysiology? Thank you in advance!!

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety +1

      Hi Farah. When I use the term pathophysiology I’m referring to the general mechanical forces or physiological response to those forces. In the instance of lateral collateral ligament injuries, pathophysiology would be a virus force or load to the knee that exceeds the strength of the lateral collateral ligament. When I refer to history, it is more of a specific mechanism or example of the pathophysiology, such as a soccer player that was tackled and struck from the inside of the knee. I hope that explanation clears things up. Please, let me know if you have further questions. Thanks for watching the video!

  • @TheBIKEDEALZ
    @TheBIKEDEALZ Před 2 lety +5

    Great video.
    Even a MRI and varus stress test aren’t enough for knowing the LCL injury (partial for example).
    The best option is using dynamic ultrasound OR better, DMX. I don’t agree with the term of mm opening for determining the structural damage as most are for the general population but does not take in account lax people.
    Apart from that, it’s great documentary explanation.
    --
    Edit: NASIDs are the worst thing a caregiver can offer as it stops the natural healing process (e.g. - natural healing of the ligament)

    • @basicsofortho7351
      @basicsofortho7351  Před rokem +2

      Thanks for viewing, commenting, and providing more clinically helpful information for other viewers!

  • @monicamolloy5105
    @monicamolloy5105 Před 2 lety +2

    Nice job. I suspect a grade 1 LCL injury left knee- no fall but “stepped off” a high stool onto left foot ( had ACL complete tear & repair rt knee in1987; since then have considered my left leg the “stronger one.” Trying conservative rx first, if still problematic in ~6 weeks will see my orthopod. R/ monica

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety

      Thank you for viewing and commenting. Wishing you the best for speedy recovery.

  • @user-do4xl8gg4q
    @user-do4xl8gg4q Před 3 lety

    Thanks dr ❤️❤️❤️🙏🙏🙏keep going please

  • @maheshchowdhary3354
    @maheshchowdhary3354 Před rokem

    Dear dr my mri report says - small sized pockets of fluid collection under the LCL and fibular collateral ligament with diffuse increased signal intensity of LCL seen however fibre continuity is maintained - s/o grade II injury..........what should be my recovery routine? Thank you.

  • @aimeerabagomagana2408
    @aimeerabagomagana2408 Před 3 lety

    I felt my knee seperate horizontally before falling.
    1. Can that be considered a "pop"?
    2. Can a grade I or II tear cause significant instability?
    3. Does a grade III usually present with significant pain?

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety +1

      I should preface my answer by noting that the videos I create are for educational and informational purposes only, and not intended to diagnose or treat any medical condition. Any suspected condition should be evaluated and treated by a trained and licensed medical provider.
      To answer the questions in general terms...there are several conditions and injuries in the knee that can cause any number of mechanical symptoms in the knee and can be described with many potential terms such as pop, snap, click, clunk, etc.
      A grade III LCL tear does result in instability to varus stresses to the knee.
      In many cases of ligament rupture in the knee there is acute pain at the onset, which can be variable in severity/intensity from person to person, but the pain may subside considerably or completely after a few days to weeks.
      Thanks for watching and commenting!

  • @kizito8888
    @kizito8888 Před 3 lety +2

    I have had both of these tears or both of my legs. One was when my teammate crashed into the inside of my right knee during soccer. It took about 2 years to heal. A few months later, an opposition player fell into the outside of my left knee. It’s been 4 years since and I still have the same symptoms. A loud pop in my knee, swelling, pain, and inability to stand on my knee without pain. 2 weeks and I get back to playing again. Rinse and repeat. I will eventually get surgery.

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety +1

      Ouch! Sorry to hear about your injuries. I certainly would recommend evaluation and treatment by a qualified, local medical provider. Best wishes for speedy healing.

    • @kizito8888
      @kizito8888 Před 3 lety +2

      @@basicsofortho7351 The potential costs kept me from trying to get medical treatment then. But I will definitely have to now. Thank you for your knowledge.

    • @samsonlevulevu2566
      @samsonlevulevu2566 Před 2 lety +1

      After healing phase give kneesovertoesguy exercises for strengthening phase

  • @unknown35514
    @unknown35514 Před 3 lety

    I injured my knee 2 months ago with a direct blow to the medial aspect of my knee, I can walk, and carry some things, but I just wonder why my quads,hamstring is constricted? Im having occasional knee pain with it most of it when i walk long distance.

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety

      While I appreciate you viewing and commenting, the intention of this video, and the mission of Basics of Ortho, is strictly informational and educational. It is not within the scope of that mission to comment on individual medical conditions. If there is personal concern or advice needed regarding a medical condition, please seek the counsel of a qualified local medical provider. Best of luck.

  • @fftn3698
    @fftn3698 Před rokem +1

    I'm an active 68 year old. I twisted my leg in a bike accident - hit a pothole. The bike fell to the left and with my left foot planted, my left hip twisted when my torso turned towards the left. Massive swelling without bruising. No pain when palpated. 30cc fluid removed from the knee with a steroid injection initially and another at 4 months. LCL and IT band both stretched and twisted it seems. That was 8 months ago. PT and quad strengthening have helped. Compression intermittently helpful. I walk without gait disturbance but ascending and descending stairs is difficult when alternating legs. No MRI. It seems like something else could help but I can't find an answer or a practitioner to help me. Suggestions?

    • @basicsofortho7351
      @basicsofortho7351  Před rokem +1

      Ouch! Sorry to hear about your injuries. I certainly would recommend follow-up evaluation and treatment recommendations by a qualified, local medical provider. Best wishes for speedy healing.

    • @fftn3698
      @fftn3698 Před rokem

      UPDATE: While seeing a chiro for a diff problem, he examined my knee. He suggested deep massage of the lateral quad of the effected knee. It has helped so much. Stairs are only a minimal challenge now.

  • @igorsavchenko938
    @igorsavchenko938 Před 3 lety +1

    Hi! I do have LCL grade1. What mean Rest? Should I completely immobilise my joint and walk with crutches or sit home and do home routine walking? If first, how many days? Then I will get muscle wastage and dissaper of 180* leg extension. What step next: muscle tonus or extension 180*? How can i Know that walking without crutches is ALREADY not damaging my LCL?

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety +1

      Igor, sorry to hear of your injury and hope for a speedy recovery. The purpose of my videos is for educational purposes and not for self-treatment of injury. If you have sustained an injury, I do recommend formal evaluation and treatment from a qualified medical provider in your local area.
      In general, “rest” is referring to avoidance of physical activity, aside from activities of daily living. You are correct that complete rest and immobilization would result in joint stiffness and muscle atrophy. Physical therapy is important to maintain range of motion and muscle strength.
      Thank you for viewing and commenting. You brought up great points!

    • @igorsavchenko938
      @igorsavchenko938 Před 3 lety +1

      @@basicsofortho7351 at this moment i do studying lcl grade 1 treatment with russian sciences. The motto is: once you have sprained LCL (Grade 1) you have to completely immobilise for 3 weeks. What do you think? Do you have extra competitive link about this? Cause how I see this: 95% of info is literally copied and shared.

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety +2

      I, personally, do not completely immobilize grade 1 LCL injuries. I do protect the extremity in a hinged knee brace, allow weightbearing as tolerated in the brace, and initiate physiotherapy to avoid stiffness and muscle wasting.
      www.ncbi.nlm.nih.gov/books/NBK560847/ is a link to a good literature review of LCL injuries.
      Wish you the best in your studies.

    • @igorsavchenko938
      @igorsavchenko938 Před 3 lety

      @@basicsofortho7351 thanks. I will check.

    • @bibiyasin7146
      @bibiyasin7146 Před 2 lety

      8

  • @ishwantsingh5291
    @ishwantsingh5291 Před 2 lety

    Hi doctor , I’ve got hit by a stone at the outerpart of my left knee i have swelling around my knee , I’ve visited ortho he said try icing for a week as in xray no bone injury sign but i feel tear i am not sure whether lcl is teared and he has asked to perform exercise one is leg raise and other is toes inward and outward

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety +1

      While I appreciate you viewing and commenting, the intention of this video, and the mission of Basics of Ortho, is strictly informational and educational. It is not within the scope of that mission to provide individualized medical advice. If there is personal concern or advice needed regarding an injury or medical condition, please seek the counsel of a qualified local medical provider. Best of luck.

    • @ishwantsingh5291
      @ishwantsingh5291 Před 2 lety

      @@basicsofortho7351 i understand your point doc , but I don’t have any greater or better POC for this nearby that’s why I’m too nervous about this hoping it’s not serious

  • @MK-kz6vd
    @MK-kz6vd Před 2 lety

    HI I WAS DOING JIU JITSU AND MY PARTNER DID A LOCK DOWN MOVE ON MY RIGHT KNEE I FELT A POP AND A LITTLE PAIN BUT MY KNEE WAS STABLE, NO SWELLING JUST SOME PAIN WHERE I THING THE LCL IS CONNECTED TO THE FIBULA I ICED IT RIGHT AWAY AND TOOK SOME ADVIL DO YOU THINK I HAVE A COMPLETE TEAR

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety

      While I appreciate you viewing and commenting, the intention of this video, and the mission of Basics of Ortho, is strictly informational and educational. It is not within the scope of that mission to provide individualized medical advice. If there is personal concern or advice needed regarding an injury or medical condition, please seek the counsel of a qualified local medical provider. Best of luck.

  • @viva_am839
    @viva_am839 Před 2 lety

    I injured both of my legs for running 13.5 miles smh.. Never again!! Recovered 95% in 4months. Self diagnosed and self treated. However, I need to see a Doc cause I have pain in the cold weather.

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety

      Thanks for viewing! I hope you find a provider that can properly diagnose your injuries and get you on the road to recovery, quickly. Best wishes for speedy healing!

  • @aneekbaisla9949
    @aneekbaisla9949 Před 2 lety

    Sir my LCL got fully broken what is the treatment?

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety

      While I appreciate you viewing and commenting, the intention of this video, and the mission of Basics of Ortho, is strictly informational and educational. It is not within the scope of that mission to provide medical advice. If there is personal concern or advice needed regarding a medical condition, please seek the counsel of a qualified local medical provider. Best of luck.

  • @shayambabalines6180
    @shayambabalines6180 Před 3 lety +1

    Can my knee pain cure?

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety

      Hi surender jangir. Knee pain can have many different origins. Some are curable, some are not. I recommend formal evaluation and management by a trained and qualified medical provider near you. Thank you for viewing and commenting! I hope your knee pain has a speedy resolution!

  • @AriesJedi
    @AriesJedi Před 3 lety

    Is it true that if you hear a pop it is a complete tear, ie. a Grade 3? Or can it be a Grade 1 or 2? I'm hoping.
    And people with poor connective tissue (such as EDS ) can tear by just stretching-not kidding.
    This is a clear and concise presentation. Thank you.

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety

      Thanks for viewing and the comment! I wouldn't say that hearing a pop would indicate a full-thickness tear 100% of the time, but that is an important piece of information in the history of injury. It would certainly need appropriate medical evaluation and imaging to determine the extent of injury.
      You are correct. For someone with a connective tissue disorder, it is much easier to sustain a ligamentous or tendon injury, and it is also more difficult to treat.
      Thanks, again, and take care!

    • @AriesJedi
      @AriesJedi Před 3 lety

      Thank you for your quick reply.
      I was hoping you wouldn't say that. I have EDS and I have been having problems with that knee for some months.
      I heard a loud pop after stretching and now that knee is much looser on the LCL than the other knee.
      Is there any other symptom that says definitely Grade 3 tear bc it is going to create a fuss.
      The PCP (here in Iceland) is screening for COVID and there is no appt system.
      I already need a wheelchair to get around and I need a carer to push me.
      I want to avoid surgery if I can.
      TIA

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety

      So sorry that you are having issues with your knee. There are several potential causes of lateral knee pain that can involve a pop or multiple pops, an LCL injury only being one. It would be best to have a local qualified medical professional evaluate the injury. Best wishes for a speedy recovery.

    • @AriesJedi
      @AriesJedi Před 3 lety

      @@basicsofortho7351 Thankyou. Just today I had made that decision to see a professional.

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety

      No problem! Glad you’re getting it checked out. Hope it gets better quickly.

  • @dalecarpenter8828
    @dalecarpenter8828 Před 3 lety

    would someone without an acl be considered disabled ?

    • @basicsofortho7351
      @basicsofortho7351  Před 3 lety

      While I appreciate you viewing and commenting, the intention of this video, and the mission of Basics of Ortho, is strictly informational and educational. It is not within the scope of that mission to comment on individual medical conditions. If there is personal concern or advice needed regarding a medical condition, please seek the counsel of a qualified local medical provider. Best of luck.

  • @dalecarpenter8828
    @dalecarpenter8828 Před 3 lety

    I have injured the medial ligament over 100 times ( stopped counting) ! I have no acl sense high school football 1972 an intentional blow to the outside of my left knee from behind to take me out of a 2nd in the league winning season ( 1st string linebacker with the most un-assisted tackles ) ! it was discovered during medial meniscectomy in 1976 in the Army Infantry ( EIB ) after bending it backwards near 90 degrees at night stepping into a golfer hole up to my knee totally over loaded with equipment I am certified timber cruiser grader / certified wildland fire fighter ( forest service ) / surveyor crew /head chain man ( they probably don't have those anymore private ) I work all summer with my knee swollen like a basketball and healed in the winter off season !I loved working in the woods !!! but it got so painful that I couldn't be nice to people ! haven't worked sense 88 now I have a military pension but didn't get that till 20 years later ! they wouldn't fix it and wouldn't say it was disabling ( yet any lying scumbag could get disability for any stupid reason ) ! the military gave me 30% but refused me 100% (couldn't deal with pain and ass holes at the same time so they would fire me )!

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety

      Sorry for your injuries and difficulties. Best wishes and thank you for your military service.

  • @ronniecalumpad2493
    @ronniecalumpad2493 Před 2 lety +1

    Hi sir .. I'm Ronnie Calumpad from tanauan Batangas from Philippines
    I'm suffering from injury of LCL injury hitting 4wheel vehicle .. I have MRI result..can you explain me sir...and how can I send u my MRI.
    Please help me sir

    • @basicsofortho7351
      @basicsofortho7351  Před 2 lety

      While I appreciate you viewing and commenting, the intention of this video, and the mission of Basics of Ortho, is strictly informational and educational. It is not within the scope of that mission to comment on individuals medical conditions. If there is personal concern or advice needed regarding a medical condition, please seek the counsel of a qualified local medical provider. Best of luck and wishes for a speedy recovery.