Diagnosis and Management of Articular Cartilage and Meniscus Pathology in the Posterior Cruciate Ligament-Injured Knee
- 1 March 2021
- journal article
- research article
- Published by Georg Thieme Verlag KG in The Journal of Knee Surgery
- Vol. 34 (06), 599-604
- https://doi.org/10.1055/s-0041-1725176
Abstract
Posterior cruciate ligament (PCL) injuries commonly occur in association with participation in sporting or recreational activities or due to a direct trauma. Cartilage and meniscal lesions are prevalent in PCL-injured knees with increasing likelihood and severity based on extent and duration of trauma to the knee. As such, comprehensive diagnostics should be performed to ascertain all related pathology, and patients should be thoroughly educated regarding treatment options, likely sequelae including posttraumatic osteoarthritis, and associated outcomes. Treatments should address the joint as an organ, ensuring stability, alignment, and functional tissue restoration are optimized by the most efficient and effective means possible. Compliance with patient- and procedure-specific postoperative management protocols is critical for optimizing successful outcomes for these complex cases. The objectives of this review article are to highlight the likelihood and importance of osteochondral and meniscal pathology in the PCL-injured knee, and to provide the best current evidence regarding comprehensive evaluation and management for PCL-injured knees with cartilage and/or meniscal comorbidities.Keywords
This publication has 48 references indexed in Scilit:
- Long-term Results of Isolated Anterolateral Bundle Reconstructions of the Posterior Cruciate LigamentThe American Journal of Sports Medicine, 2009
- Analysis of Tibiofemoral Cartilage Deformation in the Posterior Cruciate Ligament-Deficient KneeJournal of Bone and Joint Surgery, 2009
- Cartilage Damage Determines Intermediate Outcome in the Late Multiple Ligament and Posterolateral Corner-Reconstructed KneeThe American Journal of Sports Medicine, 2008
- Intra-articular findings in the reconstructed multiligament-injured kneeArthroscopy: The Journal of Arthroscopic & Related Surgery, 2005
- The Effect of Posterior Cruciate Ligament Reconstruction on Patellofemoral Contact Pressures in the Knee Joint under Simulated Muscle LoadsThe American Journal of Sports Medicine, 2004
- Physical examination of the knee: A review of the original test description and scientific validity of common orthopedic testsArchives of Physical Medicine and Rehabilitation, 2003
- Knee Dislocations: Where Are the Lesions?Journal of Orthopaedic Trauma, 2003
- Hemarthrosis of the Knee and Bone Contusion.The Kurume Medical Journal, 1997
- Intraarticular abnormalities in association with posterior cruciate ligament injuriesThe American Journal of Sports Medicine, 1993
- Isolated posterior cruciate ligament injuries in athletesThe American Journal of Sports Medicine, 1987