Fibular Collateral Ligament (FCL) Injuries: Treatment Options - Felix Hospital

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Knee injuries are prevalent, particularly in sportsmen and people who are active, but a frequently under-estimated one is the LCL (Lateral Collateral Ligament) tear. Also referred to as the FCL (Fibular Collateral Ligament) in certain situations, the LCL is an important ligament on the lateral aspect of your knee that links the thigh bone with the smaller lower leg bone. It stabilizes the joint while moving from side to side. When this ligament is damaged or over-extended as a result of sports, trauma, or sudden activities, it results in swelling, pain, and walking difficulty. 

 

It is vital to know what an LCL tear is, why it is caused, and the methods of treatment to restore speedy and total recovery. The following article will assist you if you experience knee instability or pain by explaining symptoms and how to recover.


Get expert orthopedic treatment in a Noida hospital, from physiotherapy to surgery. Call us now at +91 9667064100.

 

What Is an LCL Tear?

The LCL is a tough band of tissue on the lateral (outer) aspect of your knee. It links your thigh bone (femur) to the smaller bone in your lower leg (fibula). The LCL stabilizes your knee, particularly during side movements.
An LCL tear happens when this ligament is stretched or torn, typically because of trauma or stress, and causes pain, swelling, and instability of the knee joint. It may be a mild sprain or total rupture of the ligament.

 

How Does the Knee Normally Work?

It's helpful to understand how your knee works to appreciate the significance of the LCL. Your knee joint is made up of three bones:

 

  • Femur (thighbone)

  • Tibia (shinbone)

  • Patella (kneecap)


Ligaments support the joint and consist of fibrous bands of tissue that join bones. They are:

 

  • Collateral Ligaments: Along the sides of the knee (the medial and lateral ligaments). The LCL is one of them.

  • Cruciate Ligaments: Within the knee joint (ACL and PCL), that regulate front-to-back motion.

If the LCL is torn, your knee will be unstable or weak, especially with side motion or weight-bearing.

 

Who is at Risk of LCL Tears?

LCL tears are prevalent in individuals who:

 

  • Participate in contact sports such as football or kabaddi.

  • Take part in high-impact sport such as basketball or skiing.

  • Change direction suddenly when running (such as soccer players).

  • Undergo direct trauma to the inner aspect of the knee.


Even individuals who are not athletes can suffer from this injury due to falling, road accidents, or slipping on uneven surfaces.

 

Common Symptoms of an LCL Tear

A tear of the LCL can cause a variety of symptoms that occur immediately after injury. These are:

 

  • Sharp pain over the lateral part of the knee.

  • Swelling and bruising of the joint.

  • Tenderness to touch.

  • Instability or sensation of the knee "giving way".

  • Difficulty in walking, particularly over uneven terrain.


If you have such symptoms, particularly following a twisting injury or a blow, go and see an orthopedic surgeon in Noida for further assessment.

 

Why Does an LCL Tear Occur?

An LCL tear typically occurs when the knee is bent out of its normal shape, hence stretching or tearing the ligament. The likely causes are:

 

  • Sudden twist or pivot

  • Jumping awkwardly and landing

  • Jarring fall on the knee sideweise

  • A knock to the inside of the knee, particularly when playing sports or experiencing trauma

These are typically acute injuries, i.e., they happen unexpectedly and are not due to chronic wear and tear.

 

How is an LCL Tear Diagnosed?

Orthopedic surgeons in a hospital in Noida will begin with a clinical examination. They will test:

 

  • The movement of your knee

  • For bruising or swelling

  • If the knee is loose or unstable


In order to ensure the diagnosis, the following are tests that can be prescribed:

 

  • X-ray: To exclude any fracture of bones

  • MRI: To determine the degree of ligament injury

  • Ultrasound: In certain conditions, for a rapid soft tissue examination

 

Grades of LCL Injuries

Physicians classify LCL injuries as three grades:

 

  • Grade 1 (Mild): Slight stretching or small tears of the ligament

  • Grade 2 (Moderate): Partial tear with increased pain and instability

  • Grade 3 (Severe): Total tear, usually of other structures such as the ACL

 

Treatment Options for LCL Tears

The treatment relies upon the extent of the tear:


1. Non-Surgical (For Minor to Moderate Tears)

  • Rest and Ice Therapy

  • Compression Bandage

  • Elevating the Knee

  • Pain Killers (NSAIDs)

  • Crutches or Knee Brace

  • Physiotherapy: To revive strength and range of motion

 

2. Surgical (For Extensive Tears or Injuries involving them)

In case the LCL was a complete tear or associated with ACL or meniscus injury, surgery might be needed. Surgery can involve:

 

  • Stitching the torn ligament

  • Reattachment of the LCL to bone

  • Reconstruction utilizing a graft (tendon from another location of the body)

Highly specialized orthopedic departments in hospitals in Noida provide minimally invasive methods to recover in a short time with minimal postoperative pain.

 

Rehabilitation and Recovery

Recovery depends on the grade of injury:

 

  • Grade 1: 3–4 weeks of rest and therapy

  • Grade 2: 8–12 weeks of bracing and physiotherapy

  • Grade 3: Up to 3 months, including surgery and rehab


Physiotherapy is an important part of the rehabilitation process. It involves:

 

  • Light strengthening and stretching of muscles

  • Balance retraining

  • Progressive return to activity programs

Your orthopedic doctor will give you clearance to return to sports or activity.

 

Can LCL Tears Reoccur?

Yes, LCL can tear again if you return to activity too soon or ignore rehab. That is why lifestyle modifications and post-treatment physiotherapy are important in avoiding a reinjury.

 

Tips to Prevent LCL Tears

Though all injuries cannot be prevented, you can lower the risk by:

 

  • Warming up thoroughly before playing sports or exercising

  • Proper dressing

  • Protective knee pads while participating in contact sports

  • Avoiding jerky or sudden movements

  • Regular exercise to tone leg muscles

Schedule an appointment with a trustworthy orthopedic expert at a Noida hospital for an accurate diagnosis and customized treatment plan for your LCL injury.

 

Conclusion

An LCL tear can significantly impact your mobility and way of life, especially if left untreated. No matter if your injury is slight or serious, immediate medical treatment is essential. A competent hospital in Noida can offer qualified orthopedic consultation, accurate diagnosis, and full treatment — from bracing and medication to surgical repair and rehabilitation.


If you’re experiencing persistent knee pain, swelling, or instability, don’t delay. Consult an orthopedic expert today and take the first step toward a full recovery.


Your knees support your every step—give them the care they deserve.

 

FAQs on FCL/LCL Injury


Q: Is FCL the same as LCL?
Yes, Lateral Collateral Ligament (LCL) and Fibular Collateral Ligament (FCL) are synonyms. Both describe the same ligament on the lateral side of your knee that stabilizes side-to-side motion.


Q: Is it possible to walk with an LCL tear?
It depends on the severity. Mild tears (Grade 1) may allow some walking, but moderate to severe tears will create instability, and walking is painful or unsafe without something such as crutches or a knee brace.


Q: How do I know if my LCL tear needs surgery?
Surgery is typically needed if the tear is a complete one (Grade 3), affects other ligaments (such as the ACL), or is unresponsive to conservative management. This will be evaluated by your physician with an MRI and exam.


Q: Do I require physiotherapy following an LCL tear even if I am not undergoing surgery?
Yes, physio is essential for all levels of LCL injuries to regain strength, regain function, and prevent re-injury—operative or not.


Q: When can I resume sports after LCL surgery?
The majority of players are returned to sport 3–6 months post-surgery, depending upon rates of rehabilitation and healing. Your surgeon will walk you through a safe schedule based upon your recovery milestones.


Q: What are the consequences of not treating an LCL tear?
Not treating an LCL tear will result in chronic knee instability, joint degeneration, walking difficulty, and risk for other injury to other ligaments or cartilage.


Q: Is an LCL injury more prevalent than an ACL injury?
No, ACL sprains are more prevalent, particularly among sportsmen. LCL tears are less, however, and may also affect knee function a lot, often together with other ligament sprains.

 

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