Abstract
The posterior cruciate ligament (PCL) is the primary stabilizer of the knee joint and is the major restraint to posterior tibial translation. PCL insufficiency after the ligament’s rupture modifies the knee kinematics and may result in functional limitations in sports and daily activities. The management of PCL injuries remains a matter of debate, largely due to the lack of prospective studies delineating the true natural history of the injury and the absence of randomized trials comparing the outcomes of current modes of treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Schulz MS, Steenlage ES, Russe K, Strobel MJ. Distribution of posterior tibial displacement in knees with posterior cruciate ligament tears. J Bone Joint Surg Am. 2007;89:332–8. doi:10.2106/JBJS.C.00834.
Strobel MJ, Weiler A, Schulz MS, et al. Fixed posterior subluxation in posterior cruciate ligament-deficient knees: diagnosis and treatment of a new clinical sign. Am J Sports Med. 2002;30:32–8.
Petrigliano FA, McAllister DR. Isolated posterior cruciate ligament injuries of the knee. Sports Med Arthrosc. 2006;14:206–12.
Strobel MJ, Schulz MS, Petersen WJ, Eichhorn HJ. Combined anterior cruciate ligament, posterior cruciate ligament, and posterolateral corner reconstruction with autogenous hamstring grafts in chronic instabilities. Arthroscopy. 2006;22:182–92.
LaPrade CM, Civitarese DM, Rasmussen MT, LaPrade RF. Emerging updates on the posterior cruciate ligament: a review of the current literature. Am J Sports Med. 2015. doi:10.1177/0363546515572770.
Fanelli GC, Fanelli DG. Management of chronic combined PCL medial posteromedial instability of the knee. Sports Med Arthrosc. 2015;23:96–103.
Stannard JP, Brown SL, Robinson JT, et al. Reconstruction of the posterolateral corner of the knee. Arthroscopy. 2005;21:1051–9.
Clancy Jr WG, Shelbourne KD, Zoellner GB, Keene JS, Reider B, Rosenberg TD. Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament. Report of a new procedure. J Bone Joint Surg Am. 1983;65(3):310–22.
Thomann YR, Gaechter A. Dorsal approach for reconstruction of the posterior cruciate ligament. Arch Orthop Trauma Surg. 1994;113(3):142–8.
Burks RT, Schaffer JJ. A simplified approach to the tibial attachment of the posterior cruciate ligament. Clin Orthop Relat Res. 1990;254:216–9.
Margheritini F, Frascari Diotallevi F, Mariani PP. Posterior cruciate ligament reconstruction using an arthroscopic femoral inlay technique. Knee Surg Sports Traumatol Arthrosc. 2011;19(12):2033–5.
Mariani PP, Margheritini F. Full arthroscopic inlay reconstruction of posterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc. 2006;14(11):1038–44.
Kennedy NI, Wijdicks CA, Goldsmith MT, et al. Kinematic analysis of the posterior cruciate ligament, part 1: the individual and collective function of the anterolateral and posteromedial bundles. Am J Sports Med. 2013;41:2828–38.
LaPrade RF, Smith SD, Wilson KJ, Wijdicks CA. Quantification of functional brace forces for posterior cruciate ligament injuries on the knee joint: an in vivo investigation. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):3070–6.
Torg JS, Barton TM, Pavlov H, Stine R. Natural history of the posterior cruciate ligament-deficient knee. Clin Orthop Relat Res. 1989;246:208–16.
Patel DV, Allen AA, Warren RF, Wickiewicz TL, Simonian PT. The nonoperative treatment of acute, isolated (partial or complete) posterior cruciate ligament-deficient knees: an intermediate-term follow-up study. HSS J. 2007;3:137–46.
Shelbourne KD, Clark M, Gray T. Minimum 10-year follow-up of patients after an acute, isolated posterior cruciate ligament injury treated nonoperatively. Am J Sports Med. 2013;41:1526–33.
Jacobi M, Reischl N, Wahl P, Gautier E, Jakob RP. Acute isolated injury of the posterior cruciate ligament treated by a dynamic anterior drawer brace: a preliminary report. J Bone Joint Surg (Br). 2010;92:1381–4.
Jansson KS, Costello KE, O’Brien L, Wijdicks CA, LaPrade RF. A historical perspective of PCL bracing. Knee Surg Sports Traumatol Arthrosc. 2013;21:1064–70.
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 ESSKA
About this chapter
Cite this chapter
Margheritini, F., La Prade, R., Scheffler, S. (2016). Management of PCL Injuries (ICL 1). In: Becker, R., Kerkhoffs, G., E. Gelber, P., Denti, M., Seil, R. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49114-0_1
Download citation
DOI: https://doi.org/10.1007/978-3-662-49114-0_1
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-49113-3
Online ISBN: 978-3-662-49114-0
eBook Packages: MedicineMedicine (R0)