Your MCL, which is short for medial collateral ligament, is one of the four major ligaments in your knee. The thick membranous band is located on the inside of your knee joint, attaching at your femur and tibia. The MCL prevents forces that cause your knee to collapse inward.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
The MCL is commonly sprained or torn during athletic activities, when there is a valgus stress, or a blow from the outside of your knee 4. Football and basketball players are susceptible to MCL tears. You can take steps to determine whether it’s likely you’ve torn your MCL, but an MRI is needed for a true diagnosis.
A doctor will likely order an MRI to confirm your ligament tear.
MCL Knee Injuries
Your mechanism of knee injury can give a clue to whether or not you injured your MCL. Most MCL tears are caused by a blow to the outside of your knee, which causes your knee joint to collapse toward the center of your body, placing stress on your MCL that causes it to rupture.
Torn MCL Symptoms
How to Tell if You Have a Bruised MCL
According to Virtual Sports Injury Clinic, a torn MCL is usually associated with significant knee swelling, a locking or catching as you extend and flex your knee joint, pain or tenderness to the touch at the inside of your knee — and your knee may give way when you’re walking 13.
Try Home Remedies
Decrease pain and swelling to allow more accurate diagnosis testing. If your knee is too swollen, you will be unable to determine whether your MCL is injured. Decrease swelling by applying ice, taking non-steroidal anti-inflammatory drugs (if approved by your doctor) and elevating your knee above your heart.
MCL Tear Test
Pain in the Knee & Occasional Popping When Walking
Your doctor will likely perform an MCL tear test called the valgus stress test of your knee 4. You will sit on a table with both legs extended, the leg of your injured knee slightly hanging off one side. The doctor will rest her hip against your knee, then place her closest hand on the inside of your knee to keep it steady against her hip.
She will then reach across and place her other hand on the inside of your ankle, pulling your ankle toward her. If your knee joint feels flimsy and has excessive laxity or is allowed to open further than normal, the MCL is torn or if you have an MCL sprain.
- Your doctor will likely perform an MCL tear test called the valgus stress test.
- The doctor will rest her hip against your knee, then place her closest hand on the inside of your knee to keep it steady against her hip.
See a Doctor
Visit a medical professional to receive a true diagnosis. According to Virtual Sports Injury Clinic, surgery is not typically needed for an MCL tear, but MCL tears are frequently associated with simultaneous damage to your anterior cruciate ligament, or ACL, and it’s important you receive the treatment needed for full recovery 3.
Read more: MCL Injury & Walking
Recovery and Considerations
While you’re waiting to determine the extent of your injury, avoid additional stress by wearing a knee brace for support. If the pain is significant, a medical professional may suggest that you use crutches.
Read more: A Diet for a Torn Ligament
How to Tell if You Have a Bruised MCL
Pain in the Knee & Occasional Popping When Walking
How to Rehab a Suspensory Strain
How to Rehab a Torn Meniscus
Ligament Tear & Knee Hyperextension
Pain From a Torn LCL Ligament When Walking
Ankle Strain Injuries While Pregnant
MCL Injury & Walking
A Torn Ligament in a Thumb
How to Walk on a Torn Miniscus
- MedlinePlus: Torn Medial Collateral Ligament
- UCSF Health: MCL Tear Diagnosis
- SportsInjuryClinic.net: Medial Ligament Sprain
- OrthopaedicsOne: Valgus Stress Test of the Knee
- Kazemi M, Dabiri Y, Li LP. Recent advances in computational mechanics of the human knee joint. Comput Math Methods Med. 2013;2013:718423. doi:10.1155/2013/718423
- American Academy of Orthopedic Surgeons. (Review March 2014) Collateral Ligament Injuries.
- Grawe B, Schroeder AJ, Kakazu R, Messer MS. Lateral Collateral Ligament Injury About the Knee: Anatomy, Evaluation, and Management. J Am Acad Orthop Surg. 2018;26(6):e120-e127.
- Naqvi U, Sherman Al. Medial Collateral Ligament (MCL) Knee Injuries. [Updated 2019 Jun 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431095/
- Evans J, Nielson Jl. Anterior Cruciate Ligament (ACL) Knee Injuries. [Updated 2019 Mar 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499848/
- Kiapour AM, Murray MM. Basic science of anterior cruciate ligament injury and repair. Bone Joint Res. 2014 Feb; 3(2): 20–31. doi: 10.1302/2046-3758.32.2000241
- American Association of Orthopedic Surgeons. (Reviewed March 2014). Anterior Cruciate Ligament Injuries.
- Blunt CW, Jonas CE. Knee Pain in Adults and Adolescents: The Initial Evaluation. Am Fam Physician. 2018 Nov 1;98(9):576-585.
- Marieswaran M, Jain I, Garg B, Sharma V, Kalyanasundaram D. A Review on Biomechanics of Anterior Cruciate Ligament and Materials for Reconstruction. Appl Bionics Biomech. 2018; 2018: 4657824. doi: 10.1155/2018/4657824
- Pache S, Aman ZS, Kennedy M, et al. Posterior Cruciate Ligament: Current Concepts Review. Arch Bone Jt Surg. 2018;6(1):8–18.
- American Academy of Orthopedic Surgeons. (Review February 2009). Posterior Cruciate Ligament Injuries.
- Johns Hopkins Medicine. (n.d.). Knee Ligament Repair.
- Eitzen I, Moksnes H, Snyder-Mackler L, Risberg MA. A progressive 5-week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury. J Orthop Sports Phys Ther. 2010;40(11):705–721. doi:10.2519/jospt.2010.3345
- Lespasio MJ, Piuzzi NS, Husni ME, Muschler GF, Guarino A, Mont MA. Knee Osteoarthritis: A Primer. Perm J. 2017;21:16-183. doi:10.7812/TPP/16-183
- Kiapour AM, Murray MM. Basic science of anterior cruciate ligament injury and repair. Bone Joint Res. 2014;3(2):20-31. doi:10.1302/2046-3758.32.2000241
- Doral MN, Bilge O, Huri G, Turhan E, Verdonk R. Modern treatment of meniscal tears. EFORT Open Rev. 2018;3(5):260-268. doi:10.1302/2058-5241.3.170067
- Reinking MF. CURRENT CONCEPTS IN THE TREATMENT OF PATELLAR TENDINOPATHY. Int J Sports Phys Ther. 2016;11(6):854-866.
- Petersen W, Rembitzki I, Liebau C. Patellofemoral pain in athletes. Open Access J Sports Med. 2017;8:143-154. doi:10.2147/OAJSM.S133406
- Frush TJ, Noyes FR. Baker's Cyst: Diagnostic and Surgical Considerations. Sports Health. 2015;7(4):359-65. doi:10.1177/1941738113520130
- Huang YC, Yeh WL. Endoscopic treatment of prepatellar bursitis. Int Orthop. 2011;35(3):355-8. doi:10.1007/s00264-010-1033-5
- Beals C, Flanigan D. A Review of Treatments for Iliotibial Band Syndrome in the Athletic Population. J Sports Med (Hindawi Publ Corp). 2013;2013:367169. doi:10.1155/2013/367169
- Tsai CH, Hsu CJ, Hung CH, Hsu HC. Primary traumatic patellar dislocation. J Orthop Surg Res. 2012;7:21. doi:10.1186/1749-799X-7-21
- Ragab G, Elshahaly M, Bardin T. Gout: An old disease in new perspective - A review. J Adv Res. 2017;8(5):495-511. doi:10.1016/j.jare.2017.04.008
- Lee PYF, Nixion A, Chandratreya A, Murray JM. Synovial Plica Syndrome of the Knee: A Commonly Overlooked Cause of Anterior Knee Pain. Surg J (N Y). 2017;3(1):e9-e16. doi:10.1055/s-0037-1598047
- Vaishya R, Azizi AT, Agarwal AK, Vijay V. Apophysitis of the Tibial Tuberosity (Osgood-Schlatter Disease): A Review. Cureus. 2016;8(9):e780. doi:10.7759/cureus.780
- Zanon G, Di vico G, Marullo M. Osteochondritis dissecans of the knee. Joints. 2014;2(1):29-36.
- Hindle P, Davidson E, Biant LC. Septic arthritis of the knee: the use and effect of antibiotics prior to diagnostic aspiration. Ann R Coll Surg Engl. 2012;94(5):351-5. doi:10.1308/003588412X13171221591015
- Gwinner C, Märdian S, Schwabe P, Schaser KD, Krapohl BD, Jung TM. Current concepts review: Fractures of the patella. GMS Interdiscip Plast Reconstr Surg DGPW. 2016;5:Doc01. doi:10.3205/iprs000080
- Voskuil R, Evenski AJ, Montgomery C, Emory CL. Malignant Bone Tumors of the Knee: How to Identify and Treat. J Knee Surg. 2019;32(4):305-314. doi:10.1055/s-0038-1675828
- Gupte C, St mart JP. The acute swollen knee: diagnosis and management. J R Soc Med. 2013;106(7):259-68. doi:10.1177/0141076813482831
- American Academy of Orthopedic Surgeons. Unstable Kneecap.
- Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. Journal of Pharmacy & Bioallied Sciences 2013 Jan-Mar;5(1):30-38. doi:%2010.4103/0975-7406.106561
- Bronstein RD, Schaffer JC. Physical Examination of the Knee: Meniscus, Cartilage, and Patellofemoral Conditions. J Am Acad Orthop Surg. 2017 May;25(5):365-374.
- Browne K, Kurtz CA. How to perform a comprehensive examination of the knee. JAAPA. 2009 Jun;22(6):20-25.
- Hergenroeder AC, Harvey BS. (2017). Osteochondritis dissecans (OCD): Clinical manifestations and diagnosis. Bachur RG, ed. UpToDate. Waltham, MA: UpToDate Inc.
Kim Nunley has been screenwriting and working as an online health and fitness writer since 2005. She’s had multiple short screenplays produced and her feature scripts have placed at the Austin Film Festival. Prior to writing full-time, she worked as a strength coach, athletic coach and college instructor. She holds a master's degree in kinesiology from California State University, Fullerton.