Rehabilitation Following Repairs of the PCL, MCL, and Medial Meniscus Root in a Collegiate Football Player

Abstract

BACKGROUND: Little evidence exists regarding the return-to-sport outcomes of American football players following multiligament knee injuries (MLKIs), specifically following an injury that does not include the anterior cruciate ligament (ACL). CASE PRESENTATION: The patient is a 22-year-old American football offensive lineman, who sustained posterior cruciate ligament (PCL), medial collateral ligament (MCL), and medial meniscus root tears. OUTCOME AND FOLLOW-UP: The patient underwent surgery to repair the PCL, MCL, and medial meniscus root tears. The patient completed physical therapy and was able to return to his prior level of function, playing collegiate football 11 months after surgery. DISCUSSION: This case highlights the decision-making process of the sports medicine team regarding the diagnosis and management of the acute injury and details the surgical, rehabilitation, and return-to-sport processes following an MLKI that does not include the ACL. JOSPT Cases 2025;5(1):1-11. Epub 12 December 2024. doi:10.2519/josptcases.2024.0075