Evolving evidence in the treatment of primary and recurrent posterior cruciate ligament injuries, part 1: anatomy, biomechanics and diagnostics.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Philipp W WinklerVolker Musahl

Abstract

The posterior cruciate ligament (PCL) represents an intra-articular structure composed of two distinct bundles. Considering the anterior and posterior meniscofemoral ligaments, a total of four ligamentous fibre bundles of the posterior knee complex act synergistically to restrain posterior and rotatory tibial loads. Injury mechanisms associated with high-energy trauma and accompanying injury patterns may complicate the diagnostic evaluation and accuracy. Therefore, a thorough and systematic diagnostic workup is necessary to assess the severity of the PCL injury and to initiate an appropriate treatment approach. Since structural damage to the PCL occurs in more than one third of trauma patients experiencing acute knee injury with hemarthrosis, background knowledge for management of PCL injuries is important. In Part 1 of the evidence-based update on management of primary and recurrent PCL injuries, the anatomical, biomechanical, and diagnostic principles are presented. This paper aims to convey the anatomical and biomechanical knowledge needed for accurate diagnosis to facilitate subsequent decision-making in the treatment of PCL injuries.Level of evidence V.

References

Nov 1, 1992·The American Journal of Sports Medicine·M L GrossG A Finerman
Sep 1, 1973·Annals of the Rheumatic Diseases·P BeightonC L Soskolne
Jul 1, 1995·The American Journal of Sports Medicine·D M VeltriM J Maynard
Mar 1, 1993·The Journal of Bone and Joint Surgery. American Volume·K L MarkolfG A Finerman
Oct 1, 1995·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·G C Fanelli, C J Edson
Dec 16, 1997·The American Journal of Sports Medicine·Y KanedaT Tamaki
Jun 9, 1998·The American Journal of Sports Medicine·C D Harner, J Höher
Apr 6, 2000·The American Journal of Sports Medicine·C D HarnerS L Woo
Jun 15, 2000·British Journal of Sports Medicine·S Bollen
Mar 19, 2003·The American Journal of Sports Medicine·Christopher S AhmadVan C Mow
May 8, 2003·Archives of Orthopaedic and Trauma Surgery·M S SchulzM J Strobel
Sep 5, 2003·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Fabrizio Margheritini, Pier Paolo Mariani
Oct 21, 2004·The American Journal of Sports Medicine·Scott D MairJ Richard Steadman
Oct 21, 2004·The American Journal of Sports Medicine·William M WindRichard D Parker
Oct 18, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·A A AmisA Edwards
Mar 7, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·John D MacGillivrayRussell F Warren
May 11, 2006·The American Journal of Sports Medicine·Shinya NagasakiJun Nishiike
Jun 27, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tobias M JungAndreas Weiler
Jul 4, 2006·The American Journal of Sports Medicine·James R RobinsonAndrew A Amis
Aug 10, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Masaaki TakahashiAkira Nagano
Oct 10, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Keith L MarkolfDavid R McAllister
Mar 23, 2007·The American Journal of Sports Medicine·Ramprasad PapannagariGuoan Li
Dec 8, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert F LaPradeC David Hightower
Mar 1, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Claude T MoormanMaria Kyriaki Kaseta
Sep 23, 2008·AJR. American Journal of Roentgenology·William RodriguezAlison P Toth
Mar 25, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Stephan LorenzAndreas B Imhoff
Mar 30, 2010·The American Journal of Sports Medicine·Keith L MarkolfDavid R McAllister
Apr 12, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philippe GreinerElvire Servien
Jul 16, 2011·The American Journal of Sports Medicine·Frederick M AzarBarry B Phillips
Feb 14, 2012·The American Journal of Sports Medicine·Kanu GoyalChristopher Harner
Nov 10, 2012·The Journal of Bone and Joint Surgery. American Volume·Colin J AndersonRobert F LaPrade

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Citations

Jan 24, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp W WinklerVolker Musahl
Jun 2, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tobias C DrenckKarl-Heinz Frosch
Sep 11, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Wouter SchrovenS Konan

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