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Rupture of Posterior Cruciate Ligament: Diagnosis and Treatment Principles

Shin Woo Nam|이범구
대한슬관절학회 (Korean Knee Society)|2011.09|Knee Surgery and Related Research|제23권 제3호|pp. 135-141

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키워드

DiagnosisTreatment.Posterior cruciate ligament

초록

Posterior cruciate ligament (PCL) injuries associated with multiple ligament injuries can be easily diagnosed, but isolated PCL tears are less symptomatic, very difficult to diagnose, and frequently misdiagnosed. If a detailed investigation of the history of illness suggests a PCL injury, careful physical examinations including the posterior drawer test, dial test, varus and valgus test should be done especially if the patient complains of severe posterior knee pain in >90o of flexion. Vascular assessment and treatment should be done to avoid critical complications. An individualized treatment plan should be established after consideration of the type of tear, time after injury, associated collateral ligament injuries, bony alignment, and status of remnant. The rehabilitation should be carried out slower than that after anterior cruciate ligament reconstruction.

Abstract

Posterior cruciate ligament (PCL) injuries associated with multiple ligament injuries can be easily diagnosed, but isolated PCL tears are less symptomatic, very difficult to diagnose, and frequently misdiagnosed. If a detailed investigation of the history of illness suggests a PCL injury, careful physical examinations including the posterior drawer test, dial test, varus and valgus test should be done especially if the patient complains of severe posterior knee pain in >90o of flexion. Vascular assessment and treatment should be done to avoid critical complications. An individualized treatment plan should be established after consideration of the type of tear, time after injury, associated collateral ligament injuries, bony alignment, and status of remnant. The rehabilitation should be carried out slower than that after anterior cruciate ligament reconstruction.

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관련 논문AI추천

Current Concepts of Posterolateral Corner Injuries of the Knee김범정, 박재우, 손욱진대한슬관절학회 · Knee Surgery and Related Research2017 · 제29권 제4호Proprioception and Clinical Results of Anterolateral Single-Bundle Posterior Cruciate Ligament Reconstruction with Remnant Preservation곽병훈, 손욱진, 이동철, 이성준대한슬관절학회 · Knee Surgery and Related Research2013 · 제25권 제3호Morphologic Changes of the Posterior Cruciate Ligament on Magnetic Resonance Imaging before and after Reconstruction of Chronic Anterior Cruciate Ligament Ruptures유재두, Hyung Mook Lim대한슬관절학회 · Knee Surgery and Related Research2012 · 제24권 제4호Compression of the Popliteal Artery after Posterior Cruciate Ligament Reconstruction Using the Tibial Inlay Technique서승석, Byung Yoon Park, Do Hun Kim, Jin Hyeok Seo대한슬관절학회 · Knee Surgery and Related Research2015 · 제27권 제4호Open Reduction and Internal Fixation of Isolated Posterior Cruciate Ligament Avulsion Fractures: Clinical and Functional OutcomeAshwin Gondane, Avinash Rai, Chirag Bhatia, Sachin Joshi, Shobhit Gupta, Sumer Singh대한슬관절학회 · Knee Surgery and Related Research2017 · 제29권 제3호후방 십자 인대 급성 손상에서 일차 복원술의 결과백승희, 이동철영남대학교 의과대학 · Journal of Yeungnam Medical Science2001 · 제18권 제1호

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