ACL Rupture with LCL Sprain and Lateral Meniscus Tear
Brockway KL, Devalle SN, Fuller SC
Georgia College & State University, Milledgeville GA
Objective: Treatment:
•  To present the case of a 25 year old Athletic • She did prehab to maintain overall strength and ROM
Trainer with an ACL rupture, LCL sprain, and • She did the exercises listed below 4-5 times a week for
about 6 weeks
torn lateral meniscus.
Patient Background: Prehab
•  Caucasian Female 2 days-3 weeks
•  25 years old • Hamstring and calf stretching
for ROM
•  5’7”
• Compression pump: active
•  160 pounds
knee compression to increase
•  Mesomorph body composition blood flow
•  No PMH • Quad activation
•  Very Active in IMs, CrossFit, previous softball • Calf raises and straight leg
collegiate athlete raises
•  MOI-Rotated her right knee when coming down • Abs
from a jump. Felt crunch on medial side like her *Arm bike for conditioning
bones were rubbing together.
•  Girth measurement at knee was 3 centimeters
different from uninjured leg 4 days post injury Stage One and Two
Days 1-10
Differential Diagnoses: •  Goal: Wound healing,
control swelling, and attain
•  DDx: LCL strain, complete ACL rupture, torn lateral maximum extension
meniscus, MCL strain and medial meniscus tear •  Polar Pak/Cryocuff
•  Long Leg Knee Brace on
Crutches
•  Prone Hangs
•  Straight Leg Raises
•  Calf raises
•  Ankle and hip PNF
Prehab
3-6 weeks
•  Step ups
•  3 way resistive band for hip
(band around uninjured leg,
balancing on injured)
•  Mini squats (could not get far
with flexion)
*weeks before surgery did
normal bike with no
resistance
Future Goals
Goal after 2-4 Weeks:
•  ROM for knee flexion: 0-110
•  Discontinue crutches
Goal after 5-6 Weeks:
•  ROM for knee flexion: 0-130
Goal after 8-14 Weeks:
•  Increases strength and
activity
Goal after 15 weeks
•  Run and condition
comfortably
Goal after 24-26 weeks
•  Return to sports
Uniqueness:
• Workers comp
• Injury-9/29
• Saw general practitioner- 10/10
• Doctors apt- 11/14
• Surgery- 12/4
• Medial meniscus and MCL were injured but healed
before doctors appointment
• The patient also had grade 3 effusion (swelling in
joints)
• Micro fractures in femoral condyles (more likely to
have arthritis now)
• Semimembranosus and gracilis grafts
• Needed 4 folds because her tendons were small
• 4 days post op and the patient was off of crutches
• Lateral meniscus torn even though the LCL is not
attached to the meniscus like the MCL is.
Conclusions:
•  In conclusion, the diagnosis was an ACL rupture
with an LCL sprain and lateral meniscus tear.
•  The MCL and medial mensicus healed on their
own while the ACL, LCL, and lateral meniscus
needed surgery.
•  The AT was still able to take care of her athletes,
but needed more help than before from her ATS
with more strenuous duties.
•  The rehab plan will be complete within 26 weeks.