Online citations, reference lists, and bibliographies.
← Back to Search

Isolated Posterior Cruciate Ligament Injuries Of The Knee

F. Petrigliano, D. Mcallister
Published 2006 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Isolated injuries of the posterior cruciate ligament (PCL) are rare in comparison to other ligamentous knee injuries, resulting in a lack of evidence-based literature regarding their treatment. Although consensus exists regarding the nonoperative management of asymptomatic grade I injuries, the treatment of high-grade symptomatic PCL insufficiency remains a matter of debate. A variety of reconstructive procedures have been advocated on the basis of biomechanical data, however, the clinical benefit of these anatomic reconstructive techniques have yet to be conclusively proven in randomized trials. This article attempts to provide the treating physician with a concise overview of the etiology and diagnosis of isolated PCL injuries as well as an objective review of contemporary surgical treatment options and outcomes as reported in the current literature.
This paper references
10.1177/03635465980260051301
Injuries in Collegiate Wrestling
Glenn J. Jarrett (1998)
Evaluation of knee instability in acute ligamentous injuries.
A. Harilainen (1987)
10.1177/036354658100900207
Posterior problems in the knee
R. Fleming (1981)
10.1177/036354659602400310
Long-Term Followup of the Untreated Isolated Posterior Cruciate Ligament-Deficient Knee
M. Boynton (1996)
10.1016/S0278-5919(05)70135-6
Posterior cruciate ligament injuries.
P. St. Pierre (1999)
10.1097/00005131-199304000-00048
Posterior cruciate ligament injuries in trauma patients.
G. Fanelli (1993)
10.1111/j.1600-0838.1997.tb00155.x
Registration of cruciate ligament injuries in Norwegian top level team handball. A prospective study covering two seasons
G. Myklebust (1997)
10.1177/03635465010290020401
A Biomechanical Comparison of Posterior Cruciate Ligament Reconstruction Techniques *
J. Bergfeld (2001)
10.1016/J.ARTHRO.2004.11.013
Subjective results of nonoperatively treated, acute, isolated posterior cruciate ligament injuries.
K. Shelbourne (2005)
10.1177/0363546504270481
Evaluation and Treatment of Posterior Cruciate Ligament Injuries
W. M. Wind (2004)
10.1590/S1807-59322005000600003
Accuracy of magnetic resonance in identifying traumatic intraarticular knee lesions.
Carlos Eduardo Sanches Vaz (2005)
10.1302/0301-620x.80b1.0800173
PCL reconstruction. In vitro biomechanical comparison of 'isometric' versus single and double-bundled 'anatomic' grafts.
A. Race (1998)
10.1177/03635465020300030201
A Biomechanical Comparison of Tibial Inlay and Tibial Tunnel Posterior Cruciate Ligament Reconstruction Techniques
D. Mcallister (2002)
10.1097/00132585-199910000-00003
Clinical Evaluation of Posterior Cruciate Ligament Injuries
D. Cooper (1999)
10.2106/00004623-200206000-00007
Biomechanical Comparison of Tibial Inlay and Tibial Tunnel Techniques for Reconstruction of the Posterior Cruciate Ligament: Analysis of Graft Forces
D. Oakes (2002)
10.1007/s001670050057
Arthroscopic posterior cruciate ligament reconstruction with bone-tendon-bone patellar graft
P. Mariani (1997)
10.1177/03635465990270030201
The Natural History of Acute, Isolated, Nonoperatively Treated Posterior Cruciate Ligament Injuries
K. Shelbourne (1999)
Chronically Injured Posterior Cruciate Ligament Magnetic Resonance Imaging
D. Tewes (1997)
10.1177/036354659302100122
Nonoperatively treated isolated posterior cruciate ligament injuries
P. M. Keller (1993)
10.5435/00124635-200109000-00003
Posterior Cruciate Ligament Injuries: Evaluation and Management
A. Cosgarea (2001)
10.2106/00004623-200204000-00002
Cyclic Loading of Posterior Cruciate Ligament Replacements Fixed with Tibial Tunnel and Tibial Inlay Methods
K. Markolf (2002)
10.1002/14651858.cd002939.pub2
Interventions for treating posterior cruciate ligament injuries of the knee in adults.
M. S. Peccin (2005)
10.1302/0301-620X.77B6.7593102
Conservative treatment of isolated injuries to the posterior cruciate ligament in athletes.
K. Shino (1995)
Long-term follow-up of the untreated isolated posterior cruciate ligament-deficient knee
Boynton (1996)
10.1302/0301-620X.80B1.7453
PCL reconstruction. In vitro biomechanical comparison of 'isometric' versus single and double-bundled 'anatomic' grafts.
A. Race (1998)
10.1177/036354658601400107
Long-term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete
J. M. Parolie (1986)
10.1016/J.ARTHRO.2005.05.023
Clinical outcomes after isolated arthroscopic single-bundle posterior cruciate ligament reconstruction.
J. Sekiya (2005)
10.1177/036354659402200419
The Accuracy of the Clinical Examination in the Setting of Posterior Cruciate Ligament Injuries
R. A. Rubinstein (1994)
10.2106/00004623-198365030-00004
Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament. Report of a new procedure.
W. Clancy (1983)
10.1097/00005373-196705000-00004
The posterior cruciate ligament.
Kennedy Jc (1967)
10.1177/036354658401200409
Long-term followup of posterior cruciate ligament rupture: A study of 116 cases
M. Cross (1984)
10.1177/036354659502300611
Knee Injury Patterns Among Men and Women in Collegiate Basketball and Soccer
E. Arendt (1995)
10.2165/00007256-199112020-00004
Injuries to the Posterior Cruciate Ligament of the Knee
P. Kannus (1991)
Magnetic resonance imaging of the posterior cruciate ligament. Clinical use to improve diagnostic accuracy
ML Gross (1992)
10.2106/00004623-198870020-00005
The accuracy of selective magnetic resonance imaging compared with the findings of arthroscopy of the knee.
D. Polly (1988)
Posterior cruciate ligament injuries in the athlete: an anatomical, biomechanical and clinical review
F Margheritini (2002)
Posterior problems in the knee. Posterior cruciate insufficiency and posterolateral rotatory insufficiency
Fleming RE (1981)
10.1177/0363546504266481
Incidence and Location of bone Bruises after Acute Posterior Cruciate Ligament Injury
S. Mair (2004)
10.1148/RADIOLOGY.183.3.1584944
Three-dimensional gradient-echo MR imaging of the knee: comparison with arthroscopy in 100 patients.
C. Heron (1992)
10.1007/s00402-002-0471-y
Epidemiology of posterior cruciate ligament injuries
M. S. Schulz (2003)
10.1016/J.INJURY.2003.10.033
Arthroscopic single- versus double-bundle posterior cruciate ligament reconstructions using hamstring autograft.
Ching-Jen Wang (2004)
10.1177/03635465000280020201
Biomechanical Analysis of a Double-Bundle Posterior Cruciate Ligament Reconstruction*
C. Harner (2000)
10.1177/0363546505278255
A Systematic Approach to Magnetic Resonance Imaging Interpretation of Sports Medicine Injuries of the Shoulder
T. G. Sanders (2005)
10.1177/036354658701500606
Isolated posterior cruciate ligament injuries in athletes
P. Fowler (1987)
10.1177/0363546503261717
Biomechanical Comparison of Tibial Inlay versus Transtibial Techniques for Posterior Cruciate Ligament Reconstruction
F. Margheritini (2004)
10.1097/00007611-200210000-00009
Appearance of Previously Injured Posterior Cruciate Ligaments on Magnetic Resonance Imaging
L. Y. Griffin (2002)
Non-linear fitting of mechanical data for efficacy determination of single versus double bundle Achilles tendon grafts for PCL reconstructions.
A. Valdevit (2002)
10.1111/j.1600-0838.2003.00318.x
Arthroscopic posterior cruciate ligament reconstruction: one‐ vs. two‐tunnel technique
T. Houe (2004)
The incidece of knee ligament injuries in the general population
K. Miyasaka (1991)
10.1177/0095399703258794
The Effect of Posterior Cruciate Ligament Reconstruction on Patellofemoral Contact Pressures in the Knee Joint under Simulated Muscle Loads
T. Gill (2004)
10.1097/00042752-199107000-00018
Accuracy of diagnoses from magnetic resonance imaging of the knee. A multi-center analysis of one thousand and fourteen patients.
S. Fischer (1991)
10.1016/S0020-1383(84)80007-8
The accuracy of clinical examination of injury of the knee joint.
O. Simonsen (1984)
10.1007/s00167-005-0633-x
Biomechanical comparison of posterior cruciate ligament reconstruction techniques using cyclic loading tests
Yasuharu Hiraga (2005)
10.1016/J.KNEE.2003.11.005
The accuracy of magnetic resonance imaging in diagnosing chronic posterior cruciate ligament injury.
Christopher Servant (2004)
10.2106/00004623-199703000-00009
A Biomechanical Study of Replacement of the Posterior Cruciate Ligament with a Graft. Part I: Isometry, Pre-Tension of the Graft, and Anterior-Posterior Laxity*
K. Markolf (1997)
10.1177/036354658100900203
Acute posterior cruciate ligament injuries
W. Loos (1981)
Posterior cruciate ligament injuries in trauma patients: part II. Arthroscopy
GC Fanelli (1995)
10.1097/00003086-198702000-00022
Tenosynovial fibroma arising from the posterior cruciate ligament.
K. Ogata (1987)
10.1177/0363546503261704
Arthroscopic Posterior Cruciate Ligament Reconstruction with Quadriceps Tendon Autograft
C. Chen (2004)
10.1177/0363546504273046
A Biomechanical Comparison of Posterior Cruciate Ligament Reconstructions Using Single- and Double-Bundle Tibial Inlay Techniques
J. Bergfeld (2005)
10.1177/0363546504272374
A Systematic Approach to Magnetic Resonance Imaging Interpretation of Sports Medicine Injuries of the Knee
T. G. Sanders (2005)
10.1177/036354659702500315
Knee Injuries in Women Collegiate Rugby Players
A. Levy (1997)
10.1177/036354659702500510
Diagnosis of Complete and Partial Posterior Cruciate Ligament Ruptures
T. Hewett (1997)
10.1016/0749-8063(95)90127-2
Posterior cruciate ligament injuries in trauma patients: Part II.
G. Fanelli (1995)
10.1016/J.ARTHRO.2005.08.038
Reconstruction of isolated posterior cruciate ligament injuries: a clinical comparison of the transtibial and tibial inlay techniques.
J. Seon (2006)
10.1016/J.ARTHRO.2005.08.057
Comparison of tibial inlay versus transtibial techniques for isolated posterior cruciate ligament reconstruction: minimum 2-year follow-up.
J. Macgillivray (2006)
Evaluation and treatment of posterior cruciate ligament injuries: revisited
Wind WM (2004)
10.1177/0363546504269723
Reliability of Stress Radiography for Evaluation of Posterior Knee Laxity
M. S. Schulz (2005)
10.1177/03635465030310040901
The Biomechanical Effect of Posterior Cruciate Ligament Reconstruction on Knee Joint Function
T. Gill (2003)



This paper is referenced by
10.1007/978-0-85729-814-0_21
Arthroscopic Posterior Cruciate Ligament (PCL) Reconstruction
Ram Venkatesh (2011)
10.2106/JBJS.L.00861
Effect of physiological posterolateral rotatory laxity on early results of posterior cruciate ligament reconstruction with posterolateral corner reconstruction.
Sung-Jae Kim (2013)
10.1590/1806-9282.61.02.102
Treatment of isolated lesions of the posterior cruciate ligament.
S A S Meleiro (2015)
JAAOS-D-14-00326 277..289
Asheesh Bedi ()
Métodos de substituição cirúrgica do ligamento cruzado posterior do joelho
Catarina Tinoco (2013)
10.1016/j.ptsp.2012.03.016
Evaluation and management of posterior cruciate ligament injuries.
M. Rosenthal (2012)
10.1016/B978-1-4160-2220-6.10055-6
Dislocations and Soft Tissue Injuries of the Knee
J. Abate (2009)
10.1007/978-3-662-49114-0_1
Management of PCL Injuries (ICL 1)
F. Margheritini (2016)
10.5435/JAAOS-D-14-00326
Management of Posterior Cruciate Ligament Injuries: An Evidence-Based Review
A. Bedi (2016)
10.1177/0363546508325960
Effect of Bone Morphogenetic Protein-12 Gene Transfer on Posterior Cruciate Ligament Healing in a Rabbit Model
Y. Ma (2009)
Recognizing and Managing Posterior Cruciate Ligament Injuries
F. Petrigliano (2012)
10.5772/2196
The Role of Osteotomy in the Correction of Congenital and Acquired Disorders of the Skeleton
J. Waddell (2012)
10.1097/JSA.0000000000000251
Diagnosing PCL Injuries: History, Physical Examination, Imaging Studies, Arthroscopic Evaluation
Fleur V Verhulst (2020)
Treatment of isolated lesions of the posterior cruciate ligament trataMento
GUIDELINES IN FOCUS (2015)
10.1007/978-1-84882-203-0_5
Avoiding and Managing Complications in PCL Reconstruction
Shane T. Seroyer (2009)
Rehabilitation of a PCL reconstruction : a case study
Sjsu ScholarWorks (2009)
10.1055/s-0038-1672205
Onlay Reconstruction of the Posterior Cruciate Ligament: Biomechanical Comparison of Unicortical and Bicortical Tibial Fixation.
João Bourbon de Albuquerque Ii (2018)
10.5772/38128
Role of High Tibial Osteotomy in Chronic Posterior Cruciate Ligament and Posterolateral Corner Knee Instability
S. Bisicchia (2012)
10.1177/2325967119875139
Functional Outcomes After Isolated and Combined Posterior Cruciate Ligament Reconstruction in a Military Population
C. Tucker (2019)
10.1007/s10039-012-1840-6
Arthroskopische Verfahren am Kniegelenk
F. Welsch (2012)
10.1007/S12570-015-0332-0
Minimally invasive open reduction and fixation of avulsed tibial insertion of posterior cruciate ligament
M. S. Singer (2015)
10.1007/s00167-018-5011-6
Bicruciate lesion biomechanics, Part 1—Diagnosis: translations over 15 mm at 90° of knee flexion are indicative of a complete tear
Rogério Teixeira de Carvalho (2018)
10.1007/s00167-012-1970-1
Posterior cruciate ligament tears: functional and postoperative rehabilitation
Casey M. Pierce (2012)
10.1097/JSM.0b013e31821ac69b
"Heel hook" rock-climbing maneuver: a specific pattern of knee injury.
R. Thompson (2011)
10.1016/J.RCCOT.2019.02.003
Reparación artroscópica con banda simple en pacientes con lesión aislada de ligamento cruzado posterior. Serie de Casos
Jesús Roberto Bifano-Blanco (2018)
10.1007/s00167-008-0632-9
Clinical studies on posterior cruciate ligament tears have weak design
Anne Marie Eriksen Watsend (2008)
10.1016/j.jcm.2011.10.005
Multimodal and interdisciplinary management of an isolated partial tear of the posterior cruciate ligament: a case report.
Matthew Fernandez (2012)
10.1007/s12178-018-9491-2
Posterior Cruciate Ligament Avulsion Fractures
Anna Katsman (2018)
10.1007/s12178-018-9487-y
Nonoperative Treatment of PCL Injuries: Goals of Rehabilitation and the Natural History of Conservative Care
Dean Wang (2018)
Konservativ behandling av bakre korsbåndsskader
Stine Westby (2008)
10.1177/0363546507304665
Importance of Tibial Slope for Stability of the Posterior Cruciate Ligament—Deficient Knee
J. Robert Giffin (2007)
Umbilical Cord Perivascular Cells: A Mesenchymal Cell Source for Treatment of Tendon and Ligament Injuries
H. Emrani (2010)
See more
Semantic Scholar Logo Some data provided by SemanticScholar