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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.
MCL tears rarely are isolated. More commonly, they are associated with other soft tissue injuries of the knee, such as anterior cruciate ligament (ACL) tears and medial meniscal tears (O'Donoghue's unhappy triad). Of complete MCL tears, 73% are associated with additional significant knee injuries, usually an ACL tear.CL tears rarely are isolated. More commonly, they are associated with other soft tissue injuries of the knee, such as anterior cruciate ligament (ACL) tears and medial meniscal tears (O'Donoghue's unhappy triad). Of complete MCL tears, 73% are associated with additional significant knee injuries, usually an ACL tear.