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The PCL is located within the knee joint where it stabilizes the articulating bones, particularly the femur and the tibia, during movement.It originates from the lateral edge of the medial femoral condyle and the roof of the intercondyle notch [5] then stretches, at a posterior and lateral angle, toward the posterior of the tibia just below its articular surface.
Most PLC injuries accompany an ACL or PCL tear, and can contribute to ACL or PCL reconstruction graft failure if not recognized and treated. [ 47 ] [ 48 ] A study by LaPrade et al. in 2007 showed the incidence of posterolateral knee injuries in patients presenting with acute knee injuries and hemarthrosis (blood in the knee joint) was 9.1%.
Typically there is a tear of the anterior cruciate ligament, posterior cruciate ligament, and either the medial collateral ligament or lateral collateral ligament. [3] If the ankle–brachial pressure index is less than 0.9, CT angiography is recommended to detect blood vessel injury. [3] Otherwise repeated physical exams may be sufficient. [2]
The posterior cruciate ligament (PCL) is a ligament in each knee of humans and various other animals. It works as a counterpart to the anterior cruciate ligament (ACL). It connects the posterior intercondylar area of the tibia to the medial condyle of the femur. This configuration allows the PCL to resist forces pushing the tibia posteriorly ...
Additionally, with the knee in full extension, if valgus stress testing reveals more than 1–2 mm of medial compartment gapping present, a concomitant anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) injury is suspected. [4] [5]
The most common injury is a complete tear. [1] Symptoms include pain, an audible cracking sound during injury, instability of the knee, and joint swelling . [ 1 ] Swelling generally appears within a couple of hours. [ 2 ]