Lateral Collateral Ligament Tear
The lateral (or fibular) collateral ligament is a cord like band that acts as the primary stabiliser to prevent excessive varus forces of the knee.
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Additional Information
Home Treatments
- Management will depend on extent of injury. Some may be managed conservatively (grade 1 -2) and some may require a surgical approach (if ligament is fully ruptured)
- Swelling management RICE (rest, ice, compression, elevation) in initial stages (48 – 72 hours) as well as range of motion exercises
- Avoidance of heat, running / activity, alcohol and massage during first 48 – 72 hours
- Crutches if pain is causing a significant limp
- NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) aid reduction of inflammation. Consult your GP prior to taking NSAIDs.
Professional Medical Treatments
- Graded exercise program to restore function and strength
- Support tape
- Manual techniques (such as massage) around appropriate structures to prevent secondary issues
- Some practitioners believe in ultrasound or laser treatment. Evidence is not strong.
- Surgical management if warranted. Surgical management may be necessary in cases of a complete rupture
Physical Therapy Exercises
- Range exercises to restore knee range of motion
- Strengthening exercises of hip, knee and ankle muscles (including gluteals, hamstrings, quadriceps, calf etc.)
- Proprioception exercises (including landing control, pivoting / directional change control)
Prevention
- Wearing a knee brace to return will prevent excessive varus forces to the knee and can significantly reduce chances of re-injury
- Meeting criteria prior to return to sport
- No swelling
- Full knee range
- Normal function of quadriceps, hamstrings, hip rotators
- Adequate joint position awareness of lower limb (during stability tests)
- No pain during full training
- No issues with functional return to sport exercises and tests