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Posterior Cruciate Ligament Injuries In The Athlete

F. Margheritini, Jeff Rihn, V. Musahl, P. Mariani, C. Harner
Published 2002 · Medicine

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AbstractRecently, the posterior cruciate ligament (PCL) has become an increasingly popular subject of orthopaedic research and debate. In the past several years, anatomic and biomechanical studies have provided invaluable information concerning the structure and function of the PCL. However, many aspects of PCL injury are still not fully understood. Diagnosis of the injury is often missed because of subtlety of symptoms and clinical findings, and current management strategies of PCL injury have experienced relatively poor clinical outcomes. Controversy exists concerning the most appropriate treatment, especially in cases of isolated PCL injury. The purpose of this review is to present a complete overview of the current knowledge regarding the basic science and clinical aspects of PCL injuries, with a specific focus on the athletic population.
This paper references
10.1016/0021-9290(94)90028-0
The mechanical properties of the two bundles of the human posterior cruciate ligament.
A. Race (1994)
10.1177/036354659602400311
The Popliteofibular Ligament
M. Maynard (1996)
10.2106/00004623-197153030-00012
Functions of the popliteus muscle in man. A multifactorial electromyographic study.
J. Basmajian (1971)
10.5435/00124635-200109000-00003
Posterior Cruciate Ligament Injuries: Evaluation and Management
A. Cosgarea (2001)
10.1016/0749-8063(95)90091-8
Posterior cruciate ligament tibial inlay reconstruction.
E. Berg (1995)
10.2106/00004623-198264020-00018
An in vitro biomechanical evaluation of anterior-posterior motion of the knee. Tibial displacement, rotation, and torque.
T. Fukubayashi (1982)
10.1177/036354659202000615
Magnetic resonance imaging of the posterior cruciate ligament
M. Gross (1992)
10.2106/00004623-198769020-00010
The role of the posterolateral and cruciate ligaments in the stability of the human knee. A biomechanical study.
D. Gollehon (1987)
10.1177/036354659502300617
The Human Posterior Cruciate Ligament Complex: An Interdisciplinary Study
C. Harner (1995)
10.1177/036354659502300611
Knee Injury Patterns Among Men and Women in Collegiate Basketball and Soccer
E. Arendt (1995)
10.3109/ORT.1981.52.SUPPL-191.01
Observations on rotatory instability of the lateral compartment of the knee. Experimental studies on the functional anatomy and the pathomechanism of the true and the reversed pivot shift sign.
R. Jakob (1981)
10.1016/S0749-8063(99)70037-X
Isolated posterior cruciate ligament insufficiency induces morphological changes of anterior cruciate ligament collagen fibrils.
M. Ochi (1999)
10.1016/s0278-5919(20)30304-5
Anatomy and function of the posterior cruciate ligament.
D. C. Covey (1994)
10.1177/036354658601400107
Long-term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete
J. M. Parolie (1986)
10.1097/00003086-199902000-00017
Arthroscopic posterior cruciate ligament reconstruction using a one-incision technique.
S. Kim (1999)
10.1016/0749-8063(95)90075-6
Arthroscopic repair of a posterior cruciate ligament avulsion.
S. Littlejohn (1995)
10.1302/0301-620X.85B5.13771
The meniscofemoral ligaments: secondary restraints to the posterior drawer. Analysis of anteroposterior and rotary laxity in the intact and posterior-cruciate-deficient knee.
C. Gupte (2003)
10.1016/S0749-8063(00)90040-9
The axial view in evaluating tibial translation in cases of insufficiency of the posterior cruciate ligament.
G. Puddu (2000)
10.1007/s001670050193
Effects of sectioning the posterolateral structures on knee kinematics and in situ forces in the posterior cruciate ligament
T. M. Vogrin (2000)
10.2106/00004623-199303000-00010
Direct in vitro measurement of forces in the cruciate ligaments. Part II: The effect of section of the posterolateral structures.
K. Markolf (1993)
10.1177/036354659302100313
Biceps tendon tenodesis for posterolateral instability of the knee
D. Wascher (1993)
10.2106/00004623-197759070-00015
The popliteus muscle.
R. Mann (1977)
10.2165/00007256-199112020-00004
Injuries to the Posterior Cruciate Ligament of the Knee
P. Kannus (1991)
10.1302/0301-620X.46B2.307
THE MENISCO-FEMORAL LIGAMENTS OF THE HUMAN KNEE.
L. Heller (1964)
10.1177/03635465980260051201
The Effects of a Popliteus Muscle Load on In Situ Forces in the Posterior Cruciate Ligament and on Knee Kinematics
C. Harner (1998)
10.1007/BF00455846
Posterior instability of the knee joint
S. Nielsen (2004)
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)
10.1177/036354659702500510
Diagnosis of Complete and Partial Posterior Cruciate Ligament Ruptures
T. Hewett (1997)
10.2106/00004623-198264040-00008
The structure of the posterolateral aspect of the knee.
J. Seebacher (1982)
10.1097/00005373-197511000-00014
Isolated posterior cruciate ligament injury: literature review and case reports.
W. McMaster (1975)
10.1053/JARS.2001.20663
Laser-assisted capsulorrhaphy for multidirectional instability of the shoulder.
T. Lyons (2001)
10.1097/00003086-197501000-00033
The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis.
F. Girgis (1975)
10.2106/00004623-197658030-00009
Tension studies of human knee ligaments. Yield point, ultimate failure, and disruption of the cruciate and tibial collateral ligaments.
J. C. Kennedy (1976)
10.1016/S0749-8063(05)80187-2
Posterior cruciate ligament allograft reconstruction with and without a ligament augmentation device.
F. Noyes (1994)
10.1302/0301-620X.64B1.7068728
The long-term results of unrepaired tears of the posterior cruciate ligament.
D. Dandy (1982)
10.1302/0301-620X.72B2.2312560
Posterior instability of the knee near extension. A clinical and stress radiographic analysis of acute injuries of the posterior cruciate ligament.
H. Staeubli (1990)
Low-velocity knee dislocation.
K. Shelbourne (1991)
10.1302/0301-620X.77B6.7593102
Conservative treatment of isolated injuries to the posterior cruciate ligament in athletes.
K. Shino (1995)
The ligamentous structures of the posterolateral aspect of the knee.
S. Sudasna (1990)
10.1053/AR.1999.V15.0150641
Posterior cruciate ligament recession.
E. Berg (1999)
10.1097/00132585-199910000-00003
Clinical Evaluation of Posterior Cruciate Ligament Injuries
D. Cooper (1999)
10.1177/036354659602400606
The Posterolateral Aspect of the Knee
G. Terry (1996)
10.1177/036354659302100615
Intraarticular abnormalities in association with posterior cruciate ligament injuries
W. Geissler (1993)
The incidece of knee ligament injuries in the general population
K. Miyasaka (1991)
10.1016/S0749-8063(05)80424-4
Posterior cruciate ligament injuries in trauma patients
G. Fanelli (1993)
10.2106/00004623-200109000-00008
The Effects of Tibial Rotation on Posterior Translation in Knees in Which the Posterior Cruciate Ligament Has Been Cut
J. Bergfeld (2001)
10.1177/03635465000280011801
Biomechanical Analysis of a Posterior Cruciate Ligament Reconstruction
C. Harner (2000)
10.1177/03635465980260032301
Evaluation and Treatment of Posterior Cruciate Ligament Injuries
C. Harner (1998)
10.1177/03635465000280020201
Biomechanical Analysis of a Double-Bundle Posterior Cruciate Ligament Reconstruction*
C. Harner (2000)
10.1177/03635465000280040401
The Effect of Knee Flexion Angle and Application of an Anterior Tibial Load at the Time of Graft Fixation on the Biomechanics of a Posterior Cruciate Ligament-Reconstructed Knee
C. Harner (2000)
10.1007/BF00449958
The posterior cruciate ligament and rotatory knee instability
S. Nielsen (2004)
10.1177/03635465010290020401
A Biomechanical Comparison of Posterior Cruciate Ligament Reconstruction Techniques *
J. Bergfeld (2001)
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)
10.1016/S0749-8063(96)90189-9
Arthroscopically assisted combined posterior cruciate ligament/posterior lateral complex reconstruction.
G. Fanelli (1996)
10.1016/S0749-8063(99)70006-X
Quantitative analysis of human cruciate ligament insertions.
C. Harner (1999)
10.1007/s001670050057
Arthroscopic posterior cruciate ligament reconstruction with bone-tendon-bone patellar graft
P. Mariani (1997)
10.2106/00004623-199305000-00008
The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee.
M. Skyhar (1993)
10.1002/JOR.1100160608
In situ forces in the posterolateral structures of the knee under posterior tibial loading in the intact and posterior cruciate ligament‐deficient knee
J. Hoeher (1998)
10.1136/BJSM.34.3.227-A
Epidemiology of knee injuries: diagnosis and triage
S. Bollen (2000)
Combined posterior cruciate ligament injuries.
Clancy Wg (1994)
10.1177/03635465990270030201
The Natural History of Acute, Isolated, Nonoperatively Treated Posterior Cruciate Ligament Injuries
K. Shelbourne (1999)
10.1007/BF00435548
Rotatory instability of cadaver knees after transection of collateral ligaments and capsule
S. Nielsen (2004)
10.1097/00003086-198003000-00013
Injuries to the posterior cruciate ligament: diagnosis and treatment of early injuries and reconstruction of late instability.
Trickey El (1980)
10.1177/036354658000800203
Posterior cruciate ligament injuries
H. A. Moore (1980)
10.1016/s0278-5919(20)30312-4
Anatomy, biomechanics, and physical findings in posterolateral knee instability.
D. M. Veltri (1994)
10.1177/036354658901700104
Anatomy of the posterior cruciate ligament
B. V. Van Dommelen (1989)
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)
10.1097/00004728-199409000-00020
Complete vs Partial‐Thickness Tears of the Posterior Cruciate Ligament: MR Findings
R. Patten (1994)
10.1002/JOR.1100130317
Comparative study of the size and shape of human anterior and posterior cruciate ligaments
C. Harner (1995)
10.1177/036354659502300411
The Role of the Cruciate and Posterolateral Ligaments in Stability of the Knee
D. M. Veltri (1995)
10.1177/036354658701500606
Isolated posterior cruciate ligament injuries in athletes
P. Fowler (1987)
The posterior cruciate ligament injured knee: principles of evaluation and treatment.
M. Miller (1999)
10.2106/00004623-198870010-00014
Limits of movement in the human knee. Effect of sectioning the posterior cruciate ligament and posterolateral structures.
E. Grood (1988)
10.2106/00004623-198062020-00013
Ligamentous restraints to anterior-posterior drawer in the human knee. A biomechanical study.
D. Butler (1980)
10.1053/JARS.2000.9238
Posterior cruciate ligament architecture: evaluation under microsurgical dissection.
C. A. Makris (2000)
10.1302/0301-620x.80b1.0800173
PCL reconstruction. In vitro biomechanical comparison of 'isometric' versus single and double-bundled 'anatomic' grafts.
A. Race (1998)
10.1097/00003086-198909000-00030
Natural history of the posterior cruciate ligament-deficient knee.
J. Torg (1989)
10.1053/JARS.2000.7688
The gravity sag view: a simple radiographic technique to show posterior laxity of the knee.
K. Shino (2000)
10.1002/JOR.1100090408
Tensions in the anterior and posterior cruciate ligaments of the knee during passive loading: Predicting ligament loads from in situ measurements
J. Vahey (1991)
10.1177/036354659502300122
The Influence of Muscle Forces and External Loads on Cruciate Ligament Strain
L. Dürselen (1995)
10.2165/00007256-199826060-00003
Biomechanical Risk Factors for Exercise-Related Lower Limb Injuries
F. Neely (1998)
10.1177/036354659302100122
Nonoperatively treated isolated posterior cruciate ligament injuries
P. M. Keller (1993)
10.1177/03635465980260051301
Injuries in Collegiate Wrestling
Glenn J. Jarrett (1998)
10.1177/03635465990270042301
Biomechanics of Knee Ligaments
S. Woo (1999)
10.1177/03635465980260030901
Determination of the In Situ Forces in the Human Posterior Cruciate Ligament Using Robotic Technology
R. Fox (1998)
10.1177/036354659702500315
Knee Injuries in Women Collegiate Rugby Players
A. Levy (1997)
10.2106/00004623-199311000-00018
Biomechanics of knee ligaments: basic concepts and clinical application.
F. Fu (1994)
Natural history of acute posterior cruciate ligament tears.
K. Shelbourne (2002)
10.1016/S0749-8063(05)80344-5
Functional anatomy of the posterolateral structures of the knee.
Y. Watanabe (1993)



This paper is referenced by
10.1007/978-3-642-36569-0_111
Allografts in Posterior Cruciate Ligament Reconstructions
Luís Duarte Silva (2015)
10.1177/0363546510382207
Evaluation of Transtibial Double-Bundle Posterior Cruciate Ligament Reconstruction Using a Single-Sling Method With a Tibialis Anterior Allograft
Byoung-Hyun Min (2011)
Predictors of Knee Functional Joint Stability in Uninjured Physically Active Adults
Nicholas Clark (2014)
10.1016/S0035-1040(07)79309-1
Les lésions du ligament croisé postérieur : définition, classification et algorithme de traitement
J. Menetrey (2007)
10.1007/978-3-662-49376-2_27
Posterior Cruciate Ligament-Deficient Knee: Indications for Reconstruction
M. Denti (2016)
10.1016/S0968-0160(03)00114-5
Conservative treatment of isolated posterior cruciate ligament injury in professional baseball players: a report of two cases.
J. Iwamoto (2004)
10.1007/s00402-005-0062-9
Joint kinematics and in situ forces after single bundle PCL reconstruction: a graft placed at the center of the femoral attachment does not restore normal posterior laxity
S. Lenschow (2005)
10.1007/s12178-018-9486-z
Single Versus Double-Bundle PCL Reconstruction: Scientific Rationale and Clinical Evidence
C. Tucker (2018)
10.1177/0363546510374452
Clinical Results of Arthroscopic Single-Bundle Transtibial Posterior Cruciate Ligament Reconstruction
Young-Mo Kim (2011)
10.1177/0363546505281239
Importance of Femoral Tunnel Placement in Double-Bundle Posterior Cruciate Ligament Reconstruction
W. Petersen (2006)
10.1177/0363546506297906
Femoral Fixation of Hamstring Grafts in Posterior Cruciate Ligament Reconstruction: Biomechanical Evaluation of Different Fixation Techniques
Patricia Niedzwietzki (2007)
10.1016/J.POP.2004.07.004
Anterior and posterior cruciate ligament injuries.
J. Brown (2004)
10.1002/14651858.CD007601.pub3
Computer-assisted surgery for knee ligament reconstruction.
V. Eggerding (2014)
10.1016/J.JSAMS.2007.07.007
Posterior cruciate ligament deficiency: biomechanical and biological consequences and the outcomes of conservative treatment. A systematic review.
Matthew J Grassmayr (2008)
10.1590/S1413-78522006000200007
KNEE P.C.L. RECONSTRUCTION: A TIBIAL BED FIXATION ("INLAY") TECHNIQUE OBJECTIVE AND SUBJECTIVE EVALUATION OF A 30-CASES SERIES
S. Piedade (2006)
10.1016/B978-0-323-28683-1.00071-0
Chapter 71 – Ligamentous Injuries of the Knee
Eleanor Wint (2017)
ii THE RELATIONSHIP BETWEEN LEG DOMINANCE AND KNEE MECHANICS DURING THE CUTTING MANEUVER
H. Wang (2012)
10.1177/0363546507310077
The Role of the Posterior Oblique Ligament in Controlling Posterior Tibial Translation in the Posterior Cruciate Ligament-Deficient Knee
W. Petersen (2008)
10.18857/jkpt.2019.31.6.339
Comparing Changes in Knee Muscle Strength after Reconstruction of the Anterior and Posterior Cruciate Ligaments
SangWook Hyun (2019)
10.1007/978-3-642-36801-1_111-1
Allografts in PCL reconstructions
Luiz Augusto Costa da Silva (2013)
10.1016/j.jor.2020.03.042
Effect of posteromedial corner injury on stability and second-look arthroscopic findings after posterior cruciate ligament reconstruction using allograft.
Hee-Gon Park (2020)
Novel Insights into Anterior Cruciate Ligament Injury
D. Meuffels (2011)
10.1007/s12178-018-9487-y
Nonoperative Treatment of PCL Injuries: Goals of Rehabilitation and the Natural History of Conservative Care
Dean Wang (2018)
10.1177/03635465030310053001
Letters to the Editor
James H. Lubowitz (2003)
10.1007/s00167-012-1970-1
Posterior cruciate ligament tears: functional and postoperative rehabilitation
Casey M. Pierce (2012)
10.1002/14651858.CD007601
Computer assisted surgery for knee ligament reconstruction (Protocol)
D. Meuffels (2009)
The relationship between leg dominance and knee mechanics during the cutting maneuver
S. Brown (2012)
10.1002/9781118685150.ch21
21. The knee
Nicholas Clark (2013)
10.1016/j.jelekin.2014.01.005
Effect of posterior cruciate ligament creep on muscular co-activation around knee: a pilot study.
Xiangrong Cheng (2014)
10.1177/0363546507311097
The Effects of Sequential Sectioning of Defined Posterior Cruciate Ligament Fiber Regions on Translational Knee Motion
D. C. Covey (2008)
10.3889/oamjms.2019.185
Evaluation of Knee Joint after Open Reduction and Internal Fixation Surgery of Posterior Cruciate Ligament in Patients with Avulsion Fracture
N. Salehi (2019)
10.1016/j.arthro.2012.02.003
Reconstruction of the posterior oblique ligament and the posterior cruciate ligament in knees with posteromedial instability.
Andre Weimann (2012)
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