TY - JOUR
T1 - Posterior cruciate ligament injuries
T2 - evaluation and management.
AU - Cosgarea, A. J.
AU - Jay, P. R.
PY - 2001
Y1 - 2001
N2 - 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.
AB - 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.
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U2 - 10.5435/00124635-200109000-00003
DO - 10.5435/00124635-200109000-00003
M3 - Review article
C2 - 11575909
AN - SCOPUS:0035459989
SN - 1067-151X
VL - 9
SP - 297
EP - 307
JO - The Journal of the American Academy of Orthopaedic Surgeons
JF - The Journal of the American Academy of Orthopaedic Surgeons
IS - 5
ER -