| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Methodist Sports Medicine Center, Indianapolis, Indiana
Presented at the annual meeting of the American Academy of Orthopaedic Surgeons, San Francisco, California, February 1997, and at the 24th annual meeting of the AOSSM, Vancouver, British Columbia, Canada, July 1998.
Address correspondence and reprint requests to K. Donald Shelbourne, MD, Methodist Sports Medicine Center, 1815 North Capitol Avenue, Suite 530, Indianapolis, IN 46202
We sought to determine prospectively the natural history of acute, isolated, nonoperatively treated posterior cruciate ligament injuries in athletically active patients. The study population consisted of 133 patients (average age, 25.2 years at time of injury). All patients completed a subjective questionnaire each year for an average of 5.4 years (range, 2.3 to 11.4). Sixty-eight of the 133 patients returned to the clinic for long-term follow-up evaluation. Objectively, physical examination revealed no change in laxity from initial injury to follow-up. No correlation was found between radiographic joint space narrowing and grade of laxity. The mean modified Noyes knee score was 84.2 points, the mean Lysholm score was 83.4, and the mean Tegner activity score was 5.7. Patients with greater laxity did not have worse subjective scores. No correlation was found between subjective knee scores and time from injury. Regardless of the amount of laxity, half of the patients returned to the same sport at the same or higher level, one-third returned to the same sport at a lower level, and one-sixth did not return to the same sport. Results of this study suggest that athletically active patients with acute isolated posterior cruciate ligament tears treated nonoperatively achieved a level of objective and subjective knee function that was independent of the grade of laxity.
This article has been cited by other articles:
|
|
 |
|
  W. F. M. Jackson, W. M. van der Tempel, L. J. Salmon, H. A. Williams, and L. A. Pinczewski Endoscopically-assisted single-bundle posterior cruciate ligament reconstruction: RESULTS AT MINIMUM TEN-YEAR FOLLOW-UP J Bone Joint Surg Br, October 1, 2008; 90-B(10): 1328 - 1333. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. Rodriguez Jr., E. N. Vinson, C. A. Helms, and A. P. Toth MRI Appearance of Posterior Cruciate Ligament Tears Am. J. Roentgenol., October 1, 2008; 191(4): W155 - W159. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Li, R. Papannagari, M. Li, J. Bingham, K. W. Nha, D. Allred, and T. Gill Effect of Posterior Cruciate Ligament Deficiency on In Vivo Translation and Rotation of the Knee During Weightbearing Flexion Am. J. Sports Med., March 1, 2008; 36(3): 474 - 479. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. H. Lubowitz, B. J. Bernardini, and J. B. Reid III Current Concepts Review: Comprehensive Physical Examination for Instability of the Knee Am. J. Sports Med., March 1, 2008; 36(3): 577 - 594. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Garavaglia, A. Lubbeke, V. Dubois-Ferriere, D. Suva, D. Fritschy, and J. Menetrey Accuracy of Stress Radiography Techniques in Grading Isolated and Combined Posterior Knee Injuries: A Cadaveric Study Am. J. Sports Med., December 1, 2007; 35(12): 2051 - 2056. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. R. Giffin, K. J. Stabile, T. Zantop, T. M. Vogrin, S. L-Y. Woo, and C. D. Harner Importance of Tibial Slope for Stability of the Posterior Cruciate Ligament Deficient Knee Am. J. Sports Med., September 1, 2007; 35(9): 1443 - 1449. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. F. Anderson and C. N. Anderson Posterior Cruciate and Posterolateral Ligament Reconstruction in an Adolescent with Open Physes. A Case Report J. Bone Joint Surg. Am., July 1, 2007; 89(7): 1598 - 1604. [Full Text] [PDF]
|
|
|
|
|
|
K. D. Shelbourne, M. S. Haro, and T. Gray Knee Dislocation With Lateral Side Injury: Results of an En Masse Surgical Repair Technique of the Lateral Side Am. J. Sports Med., July 1, 2007; 35(7): 1105 - 1116. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. K. Davis, D. H. Goltz, D. C. Fithian, and D. D'Lima Anatomical Posterior Cruciate Ligament Transplantation: A Biomechanical Analysis Am. J. Sports Med., July 1, 2006; 34(7): 1126 - 1133. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Fontbote, T. C. Sell, K. G. Laudner, M. Haemmerle, C. R. Allen, F. Margheritini, S. M. Lephart, and C. D. Harner Neuromuscular and Biomechanical Adaptations of Patients With Isolated Deficiency of the Posterior Cruciate Ligament Am. J. Sports Med., July 1, 2005; 33(7): 982 - 989. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. K. Sekiya, M. J. Haemmerle, K. J. Stabile, T. M. Vogrin, and C. D. Harner Biomechanical Analysis of a Combined Double-Bundle Posterior Cruciate Ligament and Posterolateral Corner Reconstruction Am. J. Sports Med., March 1, 2005; 33(3): 360 - 369. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Logan, A. Williams, J. Lavelle, W. Gedroyc, and M. Freeman The Effect of Posterior Cruciate Ligament Deficiency on Knee Kinematics Am. J. Sports Med., December 1, 2004; 32(8): 1915 - 1922. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. E. DeFrate, T. J. Gill, and G. Li In Vivo Function of the Posterior Cruciate Ligament During Weightbearing Knee Flexion Am. J. Sports Med., December 1, 2004; 32(8): 1923 - 1928. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. M. Wind Jr, J. A. Bergfeld, and R. D. Parker Evaluation and Treatment of Posterior Cruciate Ligament Injuries: Revisited Am. J. Sports Med., October 1, 2004; 32(7): 1765 - 1775. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Oakes, K. L. Markolf, J. McWilliams, C. R. Young, and D. R. McAllister The Effect of Femoral Tunnel Position on Graft Forces During Inlay Posterior Cruciate Ligament Reconstruction Am. J. Sports Med., September 1, 2003; 31(5): 667 - 672. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. J. Cosgarea and P. R. Jay Posterior Cruciate Ligament Injuries: Evaluation and Management J. Am. Acad. Ortho. Surg., September 1, 2001; 9(5): 297 - 307. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Bergfeld, D. R. McAllister, R. D. Parker, A. D. C. Valdevit, and H. Kambic The Effects of Tibial Rotation on Posterior Translation in Knees in Which the Posterior Cruciate Ligament Has Been Cut J. Bone Joint Surg. Am., September 1, 2001; 83(9): 1339 - 1343. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. D. Harner, M. A. Janaushek, A. Kanamori, M. Yagi, T. M. Vogrin, and S. L.-Y. Woo Biomechanical Analysis of a Double-Bundle Posterior Cruciate Ligament Reconstruction Am. J. Sports Med., March 1, 2000; 28(2): 144 - 151. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
