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


     

J Am Acad Orthop Surg, Vol 9, No 5, September/October 2001, 297-307.
© 2001 the American Academy of Orthopaedic Surgeons
This Article
Right arrow Full Text
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 Cosgarea, A. J.
Right arrow Articles by Jay, P. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cosgarea, A. J.
Right arrow Articles by Jay, P. R.

Posterior Cruciate Ligament Injuries: Evaluation and Management

Andrew J. Cosgarea, MD and Peter R. Jay, MD

Dr. Cosgarea is Associate Professor, Department of Orthopaedic Surgery, Johns Hopkins Sports Medicine, Baltimore, Md. Dr. Jay is in private practice in Williamsville, NY.

Reprint requests: Dr. Cosgarea, Johns Hopkins Sports Medicine, Suite 215, 10753 Falls Road, Lutherville, MD 21093.

Posterior cruciate ligament (PCL) injuries commonly occur during sports participation or as a result of motor vehicle accidents. Careful history taking and a comprehensive physical examination are generally sufficient to identify PCL injuries. Most authors recommend nonoperative treatment for acute isolated PCL tears. This involves initial splinting in extension followed by range-of-motion and strengthening exercises. Recovery of quadriceps strength is necessary to compensate for posterior tibial subluxation and to facilitate return to preinjury activity levels. In isolated PCL tears, surgical treatment is reserved for acute bone avulsions and symptomatic chronic high-grade PCL tears. Arthroscopic single-tunnel reconstruction techniques will improve posterior laxity only moderately. Newer double-tunnel and tibial-inlay techniques offer theoretical advantages, but the available clinical results are only preliminary. When a PCL injury occurs in combination with other ligament injuries, most patients will require surgical treatment.




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
 JBJSHome page
D. E. Kramer, M. S. Bahk, B. M. Cascio, and A. J. Cosgarea
Posterior Knee Arthroscopy: Anatomy, Technique, Application
J. Bone Joint Surg. Am., December 1, 2006; 88(suppl_4): 110 - 121.
[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
C. B. Ma, A. Kanamori, T. M. Vogrin, S. L-Y. Woo, and C. D. Harner
Measurement of Posterior Tibial Translation in the Posterior Cruciate Ligament-Reconstructed Knee: Significance of the Shift in the Reference Position
Am. J. Sports Med., November 1, 2003; 31(6): 843 - 848.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2001 by the American Academy of Orthopaedic Surgeons.