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MCL Tear. An MCL tear is where the medial collateral ligament on the inner side of the knee gets overstretched and damaged. It is most commonly caused by a sudden twisting force through the knee, which damages some or all the fibres of the ligament.It can lead to swelling, pain and instability.n MCL tear is where the medial collateral ligament on the inner side of the knee gets overstretched and damaged. It is most commonly caused by a sudden twisting force through the knee, which damages some or all the fibres of the ligament. It can lead to swelling, pain and instability.
The medial collateral ligament (MCL) is located on the inner aspect, or part, of your knee, but itâs outside the joint itself. Ligaments hold bones together and add stability and strength to a joint. The MCL connects the top of the tibia, or shinbone, to the bottom of the femur, or thighbone. An injury to the MCL is often called an MCL sprain. Ligament injuries can either stretch the ligament or tear it. MCL injury of the knee is usually caused by a direct blow to the knee. This type of injury is common in contact sports.