Posterior Cruciate Ligament (PCL) Injuries

The posterior cruciate ligament (PCL) is the ligament that supports thigh bone and shin bone and keeps the knee stable. It is one of the strongest ligaments in the knee that stretches across the back of the knee. PCL injuries are less common and cause less pain as compared to the ACL injuries.

Symptoms

  • Gradual increase in pain
  • Quick swelling post injury
  • Stiffening and instability observed in knee
  • Difficulty in walking

Diagnosis

A PCL injury diagnosis is similar to that of an ACL injury. The injured knee is bent beyond 90 degrees to check if it appears distorted and also to check if it slides backwards when the knee is bent. The diagnosis of the injury is confirmed with more tests like X-ray or MRI (Magnetic Resonance Imaging). It throws light on the pattern of injury in the bone.

Treatment

Similar to the ACL injury, PCL tears are treated through both operative and non-operative methods.

Non-operative treatment

The non-operative treatment includes prescribing anti-inflammatory medicines, physiotherapy, cryotherapy and a few exercises to decrease swelling and achieve stability. In case of recurrence of symptoms, your surgeon may recommend a PCL reconstruction surgery.

Operative treatment

Operative treatment includes minimally-invasive arthroscopic surgery. The surgery is done through small incisions with guided arthroscope and under spinal anaesthesia.

Post surgery, your doctor will provide specific instructions on how to manage pain and swelling. It is also important to keep the leg in elevated position and rest as much as possible.

Other Knee injuries treated by Dr. Pradyumna R

  • Posterolateral Corner (PLC) Injury
  • Medial Patellofemoral Ligament (MPFL) Reconstruction
  • Autologous Chondrocyte Implantation (ACI)
  • Osteochondral Autograft/Allograft Transplantation (OATS)
  • Anterior Cruciate Ligament (ACL) Reconstruction

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