Abstract
Posterior cruciate ligament (PCL) tears with concomitant medial collateral ligament (MCL) or posteromedial injuries are a rare but recognized injury pattern. Unlike the posterolateral corner (PLC), the medial side generally has a higher potential to heal conservatively. Nevertheless, we have a low threshold to surgically address the medial side if significant instability exists in a PCL deficient knee. Bergfeld et al. showed that complete injuries to the superficial MCL in combination with the PCL led to increased laxity in internal tibial rotation and significant increases in posterior tibial translation (1). They recommended restoration of the MCL in combined PCL-MCL injuries to restore normal knee biomechanics.
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References
Ritchie JR, Bergfeld JA, Kambic H, et al. (1998) Isolated sectioning of the medial and posteromedial capsular ligaments in the posterior cruciate ligament-deficient knee. Influence on posterior tibial translation. Am J Sports Med 26(3):389–394
Warren LA, Marshall JL, Girgis F (1974) The prime static stabilizer of the medical side of the knee. J Bone Joint Surg Am 56(4):665–674
Jacobson KE, Chi FS (2006) Evaluation and treatment of medial collateral ligament and medial-sided injuries of the knee. Sports Med Arthrosc 14(2):58–66
Groff YJ, Harner CD (2003) Medial collateral ligament reconstruction. In: Jackson DW, editor. Reconstructive knee surgery. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins.
Grood ES, Noyes FR, Butler DL, et al. (1981) Ligamentous and capsular restraints preventing straight medial and lateral laxity in intact human cadaver knees. J Bone Joint Surg Am 63(8):1257–1269
Hillard-Sembell D, Daniel DM, Stone ML, et al. (1996) Combined injuries of the anterior cruciate and medial collateral ligaments of the knee. Effect of treatment on stability and function of the joint. J Bone Joint Surg Am 78(2):169–176
Indelicato PA (1995) Isolated medial collateral ligament injuries in the knee. J Am Acad Orthop Surg 3(1):9–14
Indelicato PA (1995) The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Results of long-term follow-up. J Bone Joint Surg Am 77(6):969
Sims WF, Jacobson KE (2004) The posteromedial corner of the knee: medial-sided injury patterns revisited. Am J Sports Med 32(2):337–345.
Woo SL, Vogrin TM, Abramowitch SD (2002) Healing and repair of ligament injuries in the knee. J Am Acad Orthop Surg 8(6):364–372
Hughston JC (1994) The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Results of long-term follow-up. J Bone Joint Surg Am 76(9):1328–1344.
Hughston JC, Barrett GR (1983) Acute anteromedial rotatory instability. Long-term results of surgical repair. J Bone Joint Surg Am 65(2):145–153
Hughston JC, Eilers AF (1973) The role of the posterior oblique ligament in repairs of acute medial (collateral) ligament tears of the knee. J Bone Joint Surg Am 55(5):923–940
Hughston JC, et al. (1976) Classification of knee ligament instabilities. Part I. The medial compartment and cruciate ligaments. J Bone Joint Surg Am 58(2):159–172.
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© 2012 Springer-Verlag France, Paris
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Forsythe, B., Mascarenhas, R., Pombo, M.W., Harner, C.D. (2012). Combined injuries to the posterior cruciate ligament and medial collateral ligament of the knee. In: The Knee Joint. Springer, Paris. https://doi.org/10.1007/978-2-287-99353-4_36
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DOI: https://doi.org/10.1007/978-2-287-99353-4_36
Publisher Name: Springer, Paris
Print ISBN: 978-2-287-99352-7
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