Rupture of Posterior Cruciate Ligament: Diagnosis and Treatment Principles
- Author:
Beom Koo LEE
1
;
Shin Woo NAM
Author Information
1. Department of Orthopedic Surgery, Gil Medical Center, Gachon University, Incheon, Korea. bklee@gilhospital.com
- Publication Type:Review
- Keywords:
Posterior cruciate ligament;
Diagnosis;
Treatment
- MeSH:
Anterior Cruciate Ligament Reconstruction;
Collateral Ligaments;
Humans;
Knee;
Ligaments;
Physical Examination;
Posterior Cruciate Ligament;
Rupture
- From:The Journal of Korean Knee Society
2011;23(3):135-141
- CountryRepublic of Korea
- Language:English
-
Abstract:
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 >90degrees 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.
