New York State Medical Treatment Guidelines for
Collateral Ligament Injury in workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Collateral Ligament Injury.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Description / Definition of Collateral Ligament Injury

Collateral Ligament Injury is rupture, sprain, or strain of the lateral or medial collateral ligament. A concurrent medial meniscus injury may also be linked to a medial collateral ligament damage.

Mechanism of Injury for Collateral Ligament Injury

Application of valgus or varus trauma force to the knee.

Specific Physical Findings of Collateral Ligament Injury

Tenderness over the medial or lateral collateral ligament, which rises with valgus or varus force given to the knee, and medial-lateral instability (knee should be evaluated in modest flexion).

Diagnostic Testing Procedures of MRI

Diagnostic Testing Procedures of and MRI are recommended in a small number of patients who may have Grade II or Grade III tears.

Non-Operative Treatment

Non-Operative Treatment is recommended in select patients as clinically indicated.

Rest/restricted activity, cane or crutch off-loading, ice, elevation, bracing, casting, orthotics, rehabilitation and active and/or passive therapy, NSAIDs, and therapeutic injections are among treatment options.

Surgical Indications / Operative Treatment

Surgical Indications / Operative Treatment are recommended in select patients.

Indications: An orthopaedic surgeon should be seen for a total Grade III collateral ligament damage.

What our office can do if you have Collateral Ligament Injury

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.


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Dr. Nakul Karkare

I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.

You can see my full CV at my profile page.