[Osteochondral injury of the femoral insertion of the deep medial collateral ligament of the knee-is there a successful surgical treatment?] / Osteochondrale Verletzung des femoralen Ansatzes des tiefen medialen Seitenbandes am Knie ­ chirurgisch erfolgsversprechende Therapie?!

ABSTRACT

Isolated ruptures of the deep portion of the medial collateral ligament (MCL) without clinical instability can mostly be treated conservatively with good clinical results. A 10-year-old girl was initially also treated conservatively. As symptoms of pain and limited range of motion were not resolved after 3 months of conservative treatment and although there were no signs of instability, it was decided to proceed with the surgical intervention. A small osteochondral fragment on the femoral insertion of the deep MCL (medial meniscofemoral ligament) was removed and the soft tissue portion of the ligament was reinserted in the anatomical footprint. The patient showed complete resolution of the pain and a full range of motion of the knee joint. At the last follow-up 18 months after surgery the patient was completely free of symptoms.