JAAOS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Veltri, D.
Right arrow Articles by Warren, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Veltri, D.
Right arrow Articles by Warren, R.
Journal of the American Academy of Orthopaedic Surgeons, Vol 1, Issue 2, 67-75
Copyright © 1993 by the American Academy of Orthopaedic Surgeons

Journal Article

Isolated and Combined Posterior Cruciate Ligament Injuries

DM Veltri and RF Warren

Department of Orthopaedic Surgery, Luke Air Force Base, Litchfield Park, Ariz.

Posterior cruciate ligament (PCL) injuries represent 3% to 20% of all knee ligamentous injuries, but the diagnosis often is missed at initial evaluation. Diagnostic acumen is increased by knowledge of knee biomechanics and selective ligament-cutting studies. The examiner must differentiate the isolated PCL injury from combined ligamentous injury to determine appropriate treatment. Isolated acute PCL tears with less than 10 mm of posterior laxity at 90 degrees of flexion should be treated with an aggressive rehabilitative program. This amount of laxity is found in the majority of isolated acute PCL tears. Isolated acute PCL tears with more than 10 to 15 mm of posterior laxity and PCL tears with combined ligamentous injuries should be reconstructed. Large PCL bony avulsions should be fixed internally. Small PCL bony avulsions with more than 10 mm of posterior laxity should be reconstructed. Chronic PCL injuries initially should be treated with an aggressive rehabilitation program. If such a program is not successful in a patient with more than 10 to 15 mm of posterior laxity and no significant radiographic evidence of degenerative changes, the PCL should be reconstructed.


This article has been cited by other articles:


Home page
 Am J Sports MedHome page
J. H. Lubowitz, B. J. Bernardini, and J. B. Reid III
Current Concepts Review: Comprehensive Physical Examination for Instability of the Knee
Am. J. Sports Med., March 1, 2008; 36(3): 577 - 594.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
W. M. Wind Jr, J. A. Bergfeld, and R. D. Parker
Evaluation and Treatment of Posterior Cruciate Ligament Injuries: Revisited
Am. J. Sports Med., October 1, 2004; 32(7): 1765 - 1775.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
D. E. Cooper and D. Stewart
Posterior Cruciate Ligament Reconstruction Using Single-Bundle Patella Tendon Graft With Tibial Inlay Fixation: 2- to 10-Year Follow-up
Am. J. Sports Med., March 1, 2004; 32(2): 346 - 360.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
D. C. Covey
Injuries of the Posterolateral Corner of the Knee
J. Bone Joint Surg. Am., January 1, 2001; 83(1): 106 - 106.
[Full Text]

Home page
 Br. J. Sports. Med.Home page
T K Kakarlapudi and D R Bickerstaff
Knee instability: isolated and complex
Br. J. Sports Med., October 1, 2000; 34(5): 395 - 400.
[Full Text] [PDF]

Home page
 Am J Sports MedHome page
K.D. Shelbourne, T. J. Davis, and D. V. Patel
The Natural History of Acute, Isolated, Nonoperatively Treated Posterior Cruciate Ligament Injuries: A Prospective Study
Am. J. Sports Med., May 1, 1999; 27(3): 276 - 283.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1993 by the American Academy of Orthopaedic Surgeons.