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. 2020 Oct 26;29(9):2976–2986. doi: 10.1007/s00167-020-06336-3

Table 3.

List of statements failing to reach consensus after Delphi round 3

Statement % Agreement % Disagreement
Anatomy The semitendinosus and gracilis are important dynamic restraints 42.9 57.1
Diagnosis Ultrasound is a valuable tool in the evaluation of PMC injury 2.9 97.1
Classification A subjective classification system for PMC injury recording mm of joint opening (Grade 1 = 3-5 mm, Grade 2 = 6–10 mm, Grade 3 > 10 mm) is prognostic and guides treatment 25.7 74.3
A subjective classification system based on: Grade1: ligament sprained but intact, Grade 2: partial tearing with mild laxity, Grade 3: complete tear with valgus laxity is prognostic and guides treatment 2.9 97.1
Existing classifications encompass the majority of the injuries and have a prognostic and treatment correlation 0 100
Isolated PMC treatment Isolated complete ruptures of the PMC (sMCL, dMCL and POL) can be treated conservatively and successfully with a range-of-motion brace 40 60
For isolated, complete PMC injuries, it is not necessary to initially lock the range-of-motion brace in extension / slight flexion for a short period (e.g. 2 weeks) 74.3* 25.7
NSAIDs do not impair healing of PMC injuries 62.9 37.1
PRP injections augment the healing of PMC injuries 5.7 94.3
Peri ligamentous corticosteroid injection is reasonable for ongoing medial pain following conservative treatment 48.5 51.5
Rehabilitation Following PMC reconstruction, patients should remain non-weight-bearing / toe-touch weight-bearing for a minimum of six weeks 34.3 65.7

PMC Posteromedial Corner, sMCL superficial medial collateral ligament, dMCL deep medial collateral ligament, POL posterior oblique ligament, ACL anterior cruciate ligament

*Reached near consensus