Abstract
Injury to the posterior cruciate ligament (PCL) is thought to account for 3% to 20% of all knee ligament injuries.1 The true incidence of PCL injuries remains unknown because many isolated PCL injuries may go undetected.2,3 It is generally accepted that isolated ruptures of the PCL do not generally cause functional instability and are best managed by nonoperative treatment.4–7 When functional instability is present, the situation is usually not an isolated PCL injury, but a combined ligamentous injury frequently involving the posterolateral corner.8–11 Posterolateral instability of the knee in combination with PCL insufficiency is frequently the cause of functional instability, and management of this instability requires addressing not only the PCL injury, but the associated posterolateral corner injury.
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References
Miyasaka KC, Daniel DM, Stone ML. The incidence of knee ligament injuries in the general population. Am J Knee Surg 1991;4:3–8.
Hughston JC, Bowden JA, Andrews JR, Norwood LA. Acute tears of the posterior cruciate ligament. Results of operative treatment. J Bone Joint Surg 1980;62A:438–450.
Dandy DJ, Pusey RJ. The long-term results of unrepaired tears of the posterior cruciate ligament. J Bone Joint Surg 1982;64B:92–94.
Fowler PJ, Messieh SS. Isolated posterior cruciate ligament injuries in athletes. Am J Sports Med 1987;15:553–557.
Parolie JM, Bergfeld JA. Long-term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete. Am J Sports Med 1986;14:35–38.
Satku K, Chew CN, Seow H. Posterior cruciate ligament injuries. Acta Orthop Scand 1984;55:26–29.
Torg JS, Barton TM, Pavlov H, Stine R. Natural history of the posterior cruciate ligament-deficient knee. Clin Orthop 1989;246:208–216.
Baker CL, Norwood LA, Hughston JC. Acute combined posterior cruciate and posterolateral instability of the knee. Am J Sports Med 1984;12:204–208.
DeLee JC, Riley MB, Rockwood CA Jr. Acute posterolateral rotatory instability of the knee. Am J Sports Med 1983;11:199–207.
Fleming REJ, Blatz DJ, McCarroll JR. Posterior problems in the knee: posterior cruciate insufficiency and posterolateral rotatory insufficiency. Am J Sports Med 1981;9:107–113.
Hughston JC, Jacobson KE. Chronic posterolateral rotatory instability of the knee. J Bone Joint Surg 1985;67A:351–359.
Sidles JA, Larson RV, Garbini JL, Downey DL, Matsen FAI. Ligament length relationships in the moving knee. J Orthop Res 1988;6:593–610.
Ogata K, McCarthy JA. Measurement of length and tension patterns during reconstruction of the posterior cruciate ligament. Am J Sports Med 1992;20: 351–355.
Galloway MT, Grood ES, Mehalik JN, Levy M, Saddler M, Noyes FR. Posterior cruciate ligament reconstruction: an in vitro study of femoral and tibial graft placement. Am J Sports Med 1996;24:415–426.
Cooley VJ, Larson RV, Harrington RM. Effect of lateral ligament reconstruction on intra-articular posterior cruciate ligament graft forces and knee motion. University of Washington Orthopaedic Research Report. 1996:37–41.
Grood ES, Hefzy MS, Lindenfeld TN. Factors affecting the region of most iso
metric femoral attachments. Am J Sports Med 1989;17:197–207. 17. Covey DC, Sapega AA, Sherman GM. Testing for isometry during reconstruction of the posterior cruciate ligament. Anatomic and biomechanical considerations. Am J Sports Med 1996;24:740–746.
Harner CD, Xerogeanes JW, Livesay GA, et al. The human posterior cruciate ligament complex: an interdisciplinary study. Am J Sports Med 1995;23:736–745.
Race A, Amis AA. PCL reconstruction. In vitro biomechanical comparison of “isometric” versus single and double-bundled “anatomic” grafts. J Bone Joint Surg 1998;80B:173–179.
Maynard MJ, Deng X, Wickiewicz TL, Warren RF. The popliteofibular ligament. Rediscovery of a key element in posterolateral stability. Am J Sports Med 1996;24:311–316.
Veltri DM, Warren RE Anatomy, biomechanics, and physical findings in posterolateral knee instability. Clin Sports Med 1994;13:599–614.
Veltri DM, Deng XH, Torzilli PA, Maynard MJ, Warren RE The role of the popliteofibular ligament in stability of the human knee. A biomechanical study. Am J Sports Med 1996;24:19–27.
Seebacher JR, Inglis AE, Marshall JL, Warren RE The structure of the posterolateral aspect of the knee. J Bone Joint Surg 1982;64A:536–541.
Wroble RR, Grood ES, Cummings JS, Henderson JM, Noyes FR. The role of the lateral extraarticular restraints in the anterior cruciate ligament-deficient knee. Am J Sports Med 1993;21:257–262.
Clancy WGJ. Repair and reconstruction of the posterior cruciate ligament. In: Chapman MW, ed. Operative Orthopedics, Vol 3. Philadelphia: JP Lippincott, 1988:1651–1655.
Mueller W. Die Rotationsinstabilitat am kniegelenk. Hefte Unfallhk 1990;125:51–68.
Larson RV, Sidles JA, Beals TC. Isometry of the lateral collateral and popliteofibular ligaments and a technique for reconstruction. University of Washington Orthopaedic Research Report. 1996:42–44.
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Larson, R.V., Metcalf, M.H. (2001). Surgical Treatment of Posterolateral Instability. In: Fanelli, G.C. (eds) Posterior Cruciate Ligament Injuries. Springer, New York, NY. https://doi.org/10.1007/978-0-387-21601-0_16
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DOI: https://doi.org/10.1007/978-0-387-21601-0_16
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