Brace typeIndicationsContraindicationsReported benefits/evidenceRisks/limitations
Prophylactic knee bracesMCL protection against valgus knee stresses
Re-injury protection after previous MCL injury
Athletes at high risk for MCL injury
To limit rotational control in ACL-deficient knees
Unstable knees requiring operative therapy
Reduction of frequency and severity of MCL injuries following valgus knee stresses
Supporting cruciate ligaments during rotational stresses
Enhanced knee proprioception
Injuries increased by excessive preloading of MCL
Limited speed and athleticism
False sense of security for previously injured knee
Brace-related contact injuries to other players
Functional knee bracesReduce translation and rotation following ACL injury
Additional support after ACL surgery
Support for mild to moderate PCL or MCL instability
Unstable knees requiring operative therapy
Complicated multi-directional knee injuries such as posterolateral corner injuries
Laboratory evidence of reduced tibial rotation and knee AP translation
Subjective reports of decreased pain, enhanced performance, and improved confidence during athletics
Control of knee hyperextension
Augmented knee proprioception
Reported effects on translation and rotation disappear at physiologic levels of use
Increased energy expenditure and decreased agility
False sense of confidence following ACL reconstruction
Brace-related contact injuries to other players
Patellofemoral knee bracesPatellar subluxation and/or dislocation
Patellar tendonitis
Chondromalacia of the patella
Postsurgical effusion control
Knee disorders unrelated to the patellofemoral joint
Knee translation or rotational control
Unstable knees requiring operative therapy
Improved patellar tracking during knee flexion and extension
Dissipated lateral patellar forces
Decreased anterior knee pain syndromes
Subjective reports of decreased pain, enhanced performance and improved confidence during athletics
Subjective benefits exceed objective findings
Increased skin irritation and lesions
Relatively insignificant pain relief with regular brace wear
Less effective than conservative therapy (simple stretching and strengthening)