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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.
Medial Collateral Ligament (MCL) Injury. The medial collateral ligament, or MCL, is commonly injured while participating in sports such as football, hockey, and skiing. When the leg is hit from the outside while the knee is bent, the knee tends to twist and buckle causing the MCL to over-stretch or tear.iagnosing MCL Injuries. To diagnose an MCL tear and the extent of damage that has occured, your doctor will perform a variety of assessments: 1  Palpation and Observation is often the first step in diagnosing. 2  The joint will be examined for swelling, bruising and deformities.