to get NUMBER_TOKEN off your first purchase thank you again to ann caller for sponsoring this video and let's get back to our learning looking at our bio digital anatomy tool here we're looking at a left knee from straight on so kind of front to back so here on the inside of the knee i've highlighted the mcl the medial meaning inside collateral ligament runs from north to south on the inside of the knee if you remember back that mechanism for durant his knee basically had this force where it went inward in this direction so if you bend the knee inward you're going to put tension on this inner part of the knee and potentially sprain that mcl this would be similar to the mechanism we saw with anthony davis injury where another player kind of fell into that outside portion of his knee giving that valgus load where the knee kind of bent inwards of course davis as we know had an mcl sprain so knowing now that the mcl is going to sit here on the inside of durant's left knee let's run through these views again so at the time point where the majority of brown's elbow has made contact with durant's knee we see it go back looking like it's hyperextended but if we switch to the other view let's look and see how much valgus load there is as well probably right about here at kind of this point and now we can actually appreciate that inward movement of durant's knee again remember in this position that mcl is sitting right here on the inside of the knee so as it moves in it's going to stretch that mcl certainly there's other things on the differential here if there's enough of a load coming into the knee from the side you can always have a risk of an acl tear and so that's always part of the evaluation with the physical exam your hamstring tendons on the inside of the knee actually come down to insert on that what we call posterior medial corner as well and so there's potential for injury to those structures but i would put an mcl sprain highest on the list based on the mechanism if that is in fact what durant has the good news is these rarely require surgery typically when the mcl gets torn it's going to tear more up at this higher proximal end closer up on the femur if the tear occurs down lower at its insertion on the tibia there's less blood supply and so those have poor healing prognosis and sometimes if it's a grade three meaning a complete tear we'll talk about doing a surgery but the majority of mcl sprains you don't need surgery for a grade one tear where there's just some mild spraining and stretching usually you're talking on the order of weeks when you get to a grade two where there's actually partial tearing that's when you get up to sometimes around that one month mark if not longer and then of course when you have a grade three full complete tear even more than a month so we'll await the final word on durant's knee mri remember just because we see a specific mechanism we always have to keep other things in the differential so hopefully he's avoided something major here but i would probably put
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