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    Related Topics

    From Musculoskeletal System

    Anterior Scalene Muscle
    The anterior scalene muscle is a deep neck muscle that elevates the first rib during inspiration and aids in neck flexion and stability, located between key neurovascular structures.
    Saddle Joints
    e.g., thumb joint
    Annular Ligament
    The annular ligament is a strong fibrous band encircling the head of the radius, stabilizing the proximal radioulnar joint and allowing smooth rotation of the forearm.
    Diaphragm
    Primary muscle for breathing.
    Pubis
    Part of the pelvis that joins with the opposite side to form the pubic symphysis.
    Acetabulum
    The acetabulum is the pelvic socket that connects with the femoral head to form the hip joint, vital for stability, movement, and weight-bearing.
    Abductor Digiti Minimi Muscle
    The abductor digiti minimi muscle is a hypothenar muscle that abducts and flexes the little finger, aiding grip and precision in hand movements.
    Deltoid
    Shoulder muscle responsible for arm abduction.
    Patella
    Knee cap, protecting the knee joint.
    Metacarpals (5 bones)
    5 bones forming the palm of the hand.
    Skull
    Bony structure of the head that encases the brain.
    Ischium
    Part of the pelvis that supports weight while sitting.
    Gastrocnemius
    Calf muscle responsible for plantarflexion of the foot.
    Gomphoses
    Fibrous joints where a peg fits into a socket (e.g., teeth in jaw).
    Clavicle
    Collarbone connecting the arm to the body.
    Gliding (Plane) Joints
    e.g., between carpals
    Fibula
    Smaller bone in the lower leg, located alongside the tibia.
    Thoracic Vertebrae (T1 - T12)
    Vertebrae in the upper and mid-back (T1-T12).
    Ulna
    Forearm bone on the pinky side.
    Radius
    Forearm bone on the thumb side.
    Parietal Bones
    Bones forming the sides and roof of the skull.
    Lumbar Vertebrae (L1 - L5)
    Vertebrae in the lower back (L1-L5).
    Mandible
    Lower jawbone that houses the teeth.
    Coccyx
    Tailbone, the remnant of the tail in humans.
    Hyoid Bone
    U-shaped bone in the neck that supports the tongue.

    Medial Collateral Ligament (MCL)

    Reviewed by our medical team

    Knee ligament that stabilizes the inner knee.

    1. Overview

    The medial collateral ligament (MCL) is a broad, flat band of connective tissue located on the inner side of the knee. It is one of the four major ligaments that stabilize the knee joint, alongside the ACL, PCL, and LCL. The MCL is particularly responsible for resisting valgus stress (forces that push the knee inward) and plays a critical role in maintaining medial knee stability during movement and weight-bearing.

    2. Location

    The MCL is found on the medial (inner) aspect of the knee:

    • Proximal attachment: Medial epicondyle of the femur.

    • Distal attachment: Medial surface of the tibia, approximately 5–7 cm below the joint line.

    • Medially: Lies deep to the sartorius muscle and over the pes anserinus tendons.

    • Adjacent structures: Lies superficial to the joint capsule and medial meniscus, with deeper fibers merging with both.

    3. Structure

    The MCL is a flat, broad, and layered ligament with two distinct parts:

    • Superficial MCL:

      • Primary stabilizer against valgus stress.

      • Runs from the medial femoral epicondyle to the medial tibia.

    • Deep MCL:

      • Shorter and thicker, located deep to the superficial layer.

      • Firmly attached to the medial meniscus and joint capsule.

    The ligament is composed of densely packed collagen fibers aligned parallel to resist tensile forces, with limited elasticity.

    4. Function

    The medial collateral ligament plays a key role in knee stability and biomechanics:

    • Resists valgus stress: Prevents the knee from collapsing inward, especially when the foot is planted and a lateral force is applied.

    • Limits external rotation: Helps stabilize the knee during twisting motions.

    • Stabilizes medial joint line: Supports the integrity of the joint during walking, running, and side-to-side movements.

    • Assists in controlling knee flexion-extension motion: Acts in concert with other ligaments and muscles.

    5. Physiological role(s)

    The MCL contributes to several physiological and functional processes:

    • Proprioception: Contains sensory receptors that provide feedback on joint position and motion, aiding balance and coordination.

    • Force distribution: Helps dissipate forces across the knee joint, especially during high-load activities.

    • Joint capsule reinforcement: The deep fibers of the MCL blend with the joint capsule, contributing to passive stabilization.

    • Protection of medial meniscus: Prevents excessive gapping that could injure the meniscus.

    6. Clinical Significance

    The MCL is commonly injured, particularly in athletes and during contact sports:

    • MCL sprain:

      • Occurs when the knee is subjected to valgus stress; classified into grades:

        • Grade I: Mild sprain with no instability.

        • Grade II: Partial tear with some laxity.

        • Grade III: Complete rupture, often with joint instability.

    • Mechanism of injury:

      • Usually from a blow to the lateral knee or sudden directional changes.

    • Symptoms:

      • Medial knee pain, swelling, bruising, tenderness along the inner knee, and instability during walking or pivoting.

    • Diagnosis:

      • Clinical valgus stress test, MRI for detailed grading and assessment of associated injuries (e.g., medial meniscus or ACL).

    • Treatment:

      • Most MCL injuries (Grades I–II) are treated non-surgically with rest, bracing, physical therapy.

      • Grade III tears may require surgical repair, especially if combined with ACL injury.

    • Rehabilitation:

      • Includes strengthening, proprioception exercises, and progressive return to activity.

    Did you know? The human body has over 600 muscles.