Injuries of the posterior cruciate ligament and posterolateral corner of the knee

Malone, Alex; Dowd, G.S.E.; Saifuddin, Asif

doi:10.1016/j.injury.2005.08.003

Cited by 49 publications

(28 citation statements)

References 71 publications

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“…However, there is currently no consensus on the best method of treatment for chronic posterolateral corner injury [19,20], and the current literature is very limited regarding information on clinical results after reconstruction of the PLC.…”

Section: Discussionmentioning

confidence: 99%

Posterolateral corner reconstruction for posterolateral rotatory instability combined with posterior cruciate ligament injuries: comparison between fibular tunnel and tibial tunnel techniques

Jung

Kim

et al. 2008

Knee Surg Sports Traumatol Arthr

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The aim of this study was to compare the results of two different methods of posterolateral corner reconstruction (fibular head tunnel versus tibial tunnel), performed at the same time as a posterior cruciate ligament reconstruction. Between January 1999 and October 2003, 47 patients underwent tensioning of a remnant posterior cruciate ligament and anterolateral bundle reconstruction along with a posterolateral corner reconstruction using a fibular head bone or tibial bone tunnel. Thirty-nine patients determined to be eligible were enrolled in this retrospective study after a minimum follow-up duration of 2 years. The average duration of follow-up was 35.3 months (range 24-70 months). Satisfactory results were achieved in 32 patients (82%) according to the International Knee Documentation Committee(IKDC) scores, and 29 patients (74%) had restored external rotational stability. The fibular head tunnel was superior to the tibial tunnel method in terms of operation time (43.0 +/- 15.7 vs. 66.6 +/- 9.4 min, respectively, P < 0.001) and improved rotational stability (85 vs. 65%, respectively, P = 0.007). However, there were no significant differences seen in anteroposterior stability and clinical assessments [Orthopädische Arbeitsgruppe Knie (OAK) P = 0.277 and IKDC scores P = 0.564]. In grade 2 chronic posterolateral rotatory instability with little or no varus instability associated with injury to the posterior cruciate ligament, a posterolateral reconstructive procedure with a single sling through the fibular tunnel offers advantages of less surgical morbidity and operation time, as well as better rotational stability, over reconstruction through the tibial tunnel.

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Section: Discussionmentioning

confidence: 99%

Posterolateral corner reconstruction for posterolateral rotatory instability combined with posterior cruciate ligament injuries: comparison between fibular tunnel and tibial tunnel techniques

Jung

Kim

et al. 2008

Knee Surg Sports Traumatol Arthr

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“…Patients are less likely to adapt and are more likely to have an unstable joint. Although there is a paucity of literature regarding non-operative management of concomitant PCL/PLC injuries, recent review articles recommend early surgical repair in such settings [58,59].…”

Section: Concomitant Posterolateral Corner Injuriesmentioning

confidence: 99%

A review of the anatomical, biomechanical and kinematic findings of posterior cruciate ligament injury with respect to non-operative management

Chandrasekaran

Scarvell

et al. 2012

The Knee

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“…12 Localized pain is common in acute injuries, especially on kneeling or decelerating. 13 Instability (giving way) is a key symptom in isolated PCL-deficient knees, particularly during stair descent. 14 Such clues would aid the diagnosis of a PCL injury due to subtlety of symptoms and clinical findings.…”

Section: Mechanism Of Injury and Clinical Evaluationmentioning

confidence: 99%

“…11 Magnetic resonance imaging is the criterion standard for evaluating PCL injuries, with accuracy ranging from 96% to 100%. 6 It will also identify associated injuries including bone bruising, 13 which may be evident in the medial and lateral compartments. 5 Magnetic resonance imaging can also be used as a follow-up to PCL injuries.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Multimodal and interdisciplinary management of an isolated partial tear of the posterior cruciate ligament: a case report

Fernandez¹,

Pugh

2012

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe the evaluation and conservative management of an isolated posterior cruciate ligament (PCL) tear. Clinical Features: A 32-year-old man with a traumatic right knee injury after tripping was initially diagnosed with medial patellar retinaculum tear at a multidisciplinary clinic. The patient received physiotherapy but reinjured the knee after returning to the sports field 3 weeks later. Subsequent clinical testing and magnetic resonance imaging confirmed a grade II isolated PCL tear. Intervention and Outcome: Following the PCL tear diagnosis, a multimodal treatment approach over the course of 8 weeks consisting of chiropractic lumbopelvic manipulation, physiotherapy, and an exercise program emphasizing eccentric muscle action was implemented. Lunges, 1-leg squats, and trunk stabilization exercises were extensively used. Three months postinjury, the patient successfully returned to sports activity with no further complications. Conclusion: The patient in this case report demonstrated successful return to preinjury functional status. This case highlights a multidisciplinary approach through the utilization of chiropractic, physiotherapy, and exercise therapies.

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Injuries of the posterior cruciate ligament and posterolateral corner of the knee

Cited by 49 publications

References 71 publications

Posterolateral corner reconstruction for posterolateral rotatory instability combined with posterior cruciate ligament injuries: comparison between fibular tunnel and tibial tunnel techniques

Posterolateral corner reconstruction for posterolateral rotatory instability combined with posterior cruciate ligament injuries: comparison between fibular tunnel and tibial tunnel techniques

A review of the anatomical, biomechanical and kinematic findings of posterior cruciate ligament injury with respect to non-operative management

Multimodal and interdisciplinary management of an isolated partial tear of the posterior cruciate ligament: a case report

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