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