Rupture of posterior cruciate ligament: diagnosis and treatment principles

Posterior cruciate ligament (PCL) injuries associated with multiple ligament injuries can be easily diagnosed, but isolated PCL tears are less symptomatic, very difficult to diagnose, and frequently misdiagnosed. If a detailed investigation of the history of illness suggests a PCL injury, careful ph...

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Bibliographic Details
Published in:Knee Surgery and Related Research, 23(3) 2011, 23(3), , pp.135-141
Main Authors: Lee, Beom Koo, Nam, Shin Woo
Format: Article
Language:English
Subjects:
Review
정형외과학
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Summary:Posterior cruciate ligament (PCL) injuries associated with multiple ligament injuries can be easily diagnosed, but isolated PCL tears are less symptomatic, very difficult to diagnose, and frequently misdiagnosed. If a detailed investigation of the history of illness suggests a PCL injury, careful physical examinations including the posterior drawer test, dial test, varus and valgus test should be done especially if the patient complains of severe posterior knee pain in >90° of flexion. Vascular assessment and treatment should be done to avoid critical complications. An individualized treatment plan should be established after consideration of the type of tear, time after injury, associated collateral ligament injuries, bony alignment, and status of remnant. The rehabilitation should be carried out slower than that after anterior cruciate ligament reconstruction.
ISSN:2234-0726
1225-1623
2234-2451
DOI:10.5792/ksrr.2011.23.3.135