Most commonly injured is ACL, this study with combined traumatic ACL and MCL injury, strives to analyse clinical reasoning for delayed MCL recovery. Detailed understanding of anatomy of soft tissues with respect to their attachments, vascularity, biomechanical limitations, and ability to recover after injury are most important for a physiotherapist. Aims and objectives: I. To evaluate the efficiency of physiotherapy on a subject with knee ACL and MCL injury ii. To compare prognosis of ACL versus MCL with conservative physiotherapy based on clinical evaluation, NMRI and subjective rating scale. Methods: This case study subject with traumatic injury of knee ACL and MCL as shown in NMRI was treated with conservative physiotherapy for 3 months period. Results: Recovery of ACL was recorded within 12 weeks where as MCL has not healed after 16 weeks as evidenced with NMRI and clinical tests. Conclusion: An in-depth knowledge of clinical anatomy of various muscles, ligaments are paramount for successful rehabilitation. Pattern of prognosis with clinical reasoning, evidenced practice were to enrich therapist , profession and health care were to be used to an efficient health care practice was due core outcome of this original research findings.
