Grade 3 LCL Tear - 2nd opinion?

[induetime08]

Hello,

I was injured apx 2 weeks ago during a grappling match and had an MRI done which confirmed a grade 3 LCL tear. With everything I've read, this usually happens along with other damage to the knee, but my Orthopedic Dr. said I was lucky and that did not happen, only the LCL was damaged.  My knee does not feel very unstable and there is minimal pain with day to day walking, more pain with the leg is brought inward (typical from what I've read).

My Dr. wanted to get another opinion from a knee specialist in her practice and they both agreed that I should just go straight to PT.   I was almost sure I was in for a surgery to repain the LCL, but she said they'd think it's best that I just strengthen the surrounding tissues to support the LCL that I apparently will no longer have intact?

She said my LCL had recoiled so much that surgery might not have the best results (I believe that is what she meant).

I guess I'm just wondering if this is a common course of recovery as I can't really find any experiences that really match mine (Just LCL grade 3 w/o other damage).  She even mentioned as long as my knee feels stable, I can continue activities.  Im in no rush to start training again, but she said Im not at risk to damage other structures (ACL, MCL, PCL). She ordered 5 sessions of PT and a Brace fitting.

Thank you for the help/suggestions/opinions!

[S. Kaul, MD]

Hi there!

With injury of the LCL alone, surgery is not usually required. The treatment plan suggested by your treating doctor is absolutely fine. Rest for a few days till the swelling goes down. along with ice-packs and anti-inflammatory medications; to be followed by physiotherapy is all that would be required in such a case.
Hope the information is helpful.

Take care!

[induetime08]

I guess I should add, should I seek a 2nd opinion locally - everything Ive read for a grade 3 rupture had surgery associated with it, again that was usually with other damage.

Thank you