Acl tear knee. Suggest what to be done.

In a 23-year-old male with an anterior cruciate ligament (ACL) tear, medial and lateral meniscal tears, and a lateral collateral ligament (LCL) sprain, a comprehensive clinical examination is crucial to assess the extent of the injury and plan appropriate management. Here are the clinical examinations and management strategies: Clinical Examination 1. Inspection and Palpation:    - Check for swelling, bruising, and deformity.    - Palpate the joint line for tenderness, which may indicate meniscal tears.    - Assess for effusion, indicating intra-articular injury. 2. Range of Motion (ROM):    - Assess active and passive ROM to determine any restrictions due to pain or mechanical block. 3. Special Tests for Ligamentous Stability:    - Lachman Test: To assess ACL integrity. Increased anterior translation of the tibia compared to the opposite knee suggests an ACL tear.    - Anterior Drawer Test: Another test for ACL stability, though less sensitive than the Lachman test.    - Varus Stress Test: To evaluate LCL integrity. Perform at 0 and 30 degrees of knee flexion to assess for increased laxity compared to the contralateral side. 4. Meniscal Tests    - McMurray Test: To detect tears in the medial or lateral meniscus. Pain, clicking, or locking during the maneuver suggests a tear.    - Thessaly Test: Dynamic test performed with the patient standing and rotating on the affected leg .

1. Initial Conservative Management:    - RICE Protocol: Rest, Ice, Compression, and Elevation to control pain and swelling.    - Bracing Use of a knee brace to provide stability and support during the acute phase. 2. Medications    - NSAIDs: For pain relief and to reduce inflammation. 3. Rehabilitation and Physical Therap:    - Strengthening Exercises**: Focus on quadriceps, hamstrings, and hip muscles to provide dynamic stability to the knee.    - Proprioception Training: To improve joint awareness and balance.    - Range of Motion Exercises: To maintain and improve knee flexibility. 4. Surgical Intervention:    - Arthroscopic Surgery: Given the combination of injuries, surgical intervention is often indicated, especially in active individuals. This may include:      - **ACL Reconstruction**: Using autografts (e.g., patellar tendon, hamstring tendon)      - **Meniscal Repair or Meniscectomy**: Depending on the location and extent of the meniscal tears.      - **LCL Repair or Reconstruction**: If significant laxity or instability is present. 5. Post-Operative Rehabilitation:    - Essential for restoring knee function, preventing stiffness, and ensuring successful surgical outcomes.    - Gradual progression of weight-bearing and activity levels under the guidance of a physical therapist.    - Emphasis on return-to-sport criteria if the patient is athletically inclined. 6. Follow-Up Care    - Regular follow-up with the orthopedic surgeon to monitor healing and rehabilitation progress.    - Imaging, such as MRI, may be used post-operatively to assess healing of repaired structures.

A multidisciplinary approach involving orthopedic surgeons, physical therapists, and possibly sports medicine specialists is crucial to optimizing treatment outcomes for this complex knee injury pattern. Early and appropriate management can significantly improve functional recovery and allow the patient to return to pre-injury activity levels

Your report shows partial tear. You need examination if you have partial tear only then physio will help alot otherwise you may require surgery.

Need examination and if needed surgical intervention better than conservative management

I would like to examine you before I give any opinion. Logically it should be surgically repaired. But  Before advent of MRI, knee injuries were treated   conservatively, quite often  successfully. You may try it.