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Diagnostic evaluation of posterior cruciate ligament injuries

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The posterior cruciate ligament is one of the most controversial issues in sports medicine. There is no consensus in the literature with respect to its incidence, natural history, and treatment indications. Injury evaluation is often underestimated, with the result of misdiagnosed injury or wrong treatment. This contribution reviews the principles of diagnostic evaluation of posterior cruciate ligament injuries.

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References

  1. Chassaing V, Deltour F, Touzard R, Ceccaldi JP, Miremad C (1995) Etude radiologique du L.C.P. à 90 de flexion. Rev Chir Orthop Reparatrice Appar Mot 81:35–38

    PubMed  Google Scholar 

  2. Daniel DM, Stone ML, Barnett P, Sachs R (1988) Use of the quadriceps active test to diagnose posterior cruciate—ligament disruption and measure posterior laxity of the knee. J Bone Joint Surg Am 70:386–391

    Google Scholar 

  3. Escobedo EM, Mills WJ, Hunter JC (2002) The "reverse Segond" fracture: association with a tear of the posterior cruciate ligament and medial meniscus. AJR Am J Roentgenol 178:979–983

    PubMed  Google Scholar 

  4. Fanelli GC, Edson CJ (1995) Posterior cruciate ligament injuries in trauma patients. II. Arthroscopy 11:526–529

    PubMed  Google Scholar 

  5. Fowler PJ, Messieh SS (1987) Isolated posterior cruciate ligament injuries in athletes. Am J Sports Med 15:553–557

    PubMed  Google Scholar 

  6. Gross ML, Grover JS, Bassett LW, Seeger LL, Finerman GA (1992) Magnetic resonance imaging of the posterior cruciate ligament. Clinical use to improve diagnostic accuracy. Am J Sports Med 20:732–737

    CAS  PubMed  Google Scholar 

  7. Hall G, Hochman MG (1997) Medial Segond-type fracture: cortical avulsion off the medial tibial plateau associated with tears of the posterior cruciate ligament and medial meniscus. Skeletal Radiol 26:553–555

    Article  CAS  PubMed  Google Scholar 

  8. Hewett TE, Noyes FR, Lee MD (1997) Diagnosis of complete and partial posterior cruciate ligament ruptures. Stress radiography compared with KT-1000 arthrometer and posterior drawer testing. Am J Sports Med 25:648–655

    CAS  PubMed  Google Scholar 

  9. Huber FE, Irrgang JJ, Harner C, Lephart S (1997) Intratester and intertester reliability of the KT-1000 arthrometer in the assessment of posterior laxity of the knee. Am J Sports Med 25:479–485

    CAS  PubMed  Google Scholar 

  10. Jacobsen K (1977) Stress radiographical measurements of post-traumatic knee instability. A clinical study. Acta Orthop Scand 48:301–310

    CAS  PubMed  Google Scholar 

  11. Margheritini F, Mariani PP, Christel P, Chambat PB, Bellelli A, Mancini L (2001) How does the posterior cruciate ligament heal? A prospective multicentric MRI study with functional implications. Arthroscopy 17, abstract

  12. Margheritini F, Mancini L, Mauro C, Mariani PP (2003) Stress radiographies for quantifying posterior cruciate ligament deficiency. Arthroscopy 19:706–711

    Google Scholar 

  13. Mariani PP, Adriani E (1994) Teilruptur des hinteren Kreuzbands mit isoliertem Ausriß der femoralen insertion. Arthroskopie 7:131–132

    Google Scholar 

  14. Miyasaka KC, Daniel DM, Stone ML (1991) The incidence of knee ligament injuries in the general population. Am J Knee Surg 4:3–8

    Google Scholar 

  15. Osti L, Bartelett J (2001) The value of the kneeling view to evaluate the posterior knee instability. In: International PCL Study Group Meeting, Kurumba

  16. Parolie JM, Bergfeld JA (1986) Long-term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete. Am J Sports Med 14:35–38

    CAS  PubMed  Google Scholar 

  17. Puddu G, Gianni E, Chambat P, De Paulis F (2000) The axial view in evaluating tibial translation in cases of insufficiency of the posterior cruciate ligament. Arthroscopy 16:217–220

    CAS  PubMed  Google Scholar 

  18. Rubinstein RA Jr, Shelbourne KD, McCarroll JR, VanMeter CD, Rettig AC (1994) The accuracy of the clinical examination in the setting of posterior cruciate ligament injuries. Am J Sports Med 22:550–557

    PubMed  Google Scholar 

  19. Shelbourne KD, Benedict F, McCarrol J, Rettig AC (1989) Dynamic posterior shift test. Am J Sports Med 17:275–277

    CAS  PubMed  Google Scholar 

  20. Shelbourne KD, Jennings RW, Vahey TN (1999) Magnetic resonance imaging of posterior cruciate ligament injuries: assessment of healing. Am J Knee Surg 12:209–213

    CAS  PubMed  Google Scholar 

  21. Shino K, Mitsuoka T, Horibe S, Hamada M, Nakata K, Nakamura N (2000) The gravity sag view: a simple radiographic technique to show posterior laxity of the knee. Arthroscopy 16:670–672

    Article  CAS  PubMed  Google Scholar 

  22. Skyhar MJ, Warren RF, Ortiz GJ, Schwartz E, Otis JC (1993) The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee. J Bone Joint Surg Am 75:694–699

    CAS  PubMed  Google Scholar 

  23. Stäubli HU, Jakob RP (1990) Posterior instability of the knee near extension. A clinical and stress radiographic analysis of acute injuries of the posterior cruciate ligament. J Bone Joint Surg Br 72:225–230

    CAS  PubMed  Google Scholar 

  24. Stäubli HU, Noesberger B, Jakob RP (1992) Stressradiography of the knee. Cruciate ligament function studied in 138 patients. Acta Orthop Scand Suppl 249:1–27

    PubMed  Google Scholar 

  25. Strobel M (1999) PCL reconstructions. In: PCL Study Group International, Cape Town

  26. Strobel MJ, Weiler A, Schulz MS, Russe K, Eichhorn HJ (2002) Fixed posterior subluxation in posterior cruciate ligament-deficient knees: diagnosis and treatment of a new clinical sign. Am J Sports Med 30:32–38

    PubMed  Google Scholar 

  27. Tewes DP, Fritts HM, Fields RD, Quick DC, Buss DD (1997) Chronically injured posterior cruciate ligament: magnetic resonance imaging. Clin Orthop 224–232

    Google Scholar 

  28. Whipple TL, Ellis FD (1991) Posterior cruciate ligament injuries. Clin Sports Med 515–557

  29. Wirz P, von Stokar P, Jakob RP (2000) The effect of knee position on the reproducibility of measurements taken from stress films: a comparison of four measurement methods. Knee Surg Sports Traumatol Arthrosc 8:143–148

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Fabrizio Margheritini.

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Margheritini, F., Mariani, P.P. Diagnostic evaluation of posterior cruciate ligament injuries. Knee Surg Sports Traumatol Arthrosc 11, 282–288 (2003). https://doi.org/10.1007/s00167-003-0409-0

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  • DOI: https://doi.org/10.1007/s00167-003-0409-0

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