FROM OUR EXPERTS
Highly active people who injure their anterior cruciate ligament (ACL) in the knee are often faced with an important treatment decision: surgery or no surgery? Wouldn't it be great if there was a test that people could take to help them answer this question? What we need is a way to tell who is a good candidate for nonoperative care and who should just go ahead and have the surgery. In fact, such a tool may be here. Researchers at the University of Delaware have put together clinical guidelines using a screening exam that might just do the trick. At least their results (72 per cent success rate) was much higher than in other studies where patients decided for themselves not to have surgery. Their work will have to be repeated by others to validate their findings. But for now, they report an increased ability to return highly active adults to their preinjury level of activity safely and effectively without surgery. The results of this study are important because there's been an increas...
A posterior cruciate ligament injury is a partial or complete tearing or stretching of any part of the posterior cruciate ligament (PCL), which is located inside the knee joint.
Cruciate ligament injury - posterior; PCL injury; Knee injury - posterior cruciate ligament (PCL); Hyperextended knee
Your doctor will perform a physical examination to check for signs of PCL injury. This includes moving the knee joint in various ways.
Your doctor may also check for the presence of fluid in the knee joint. This test may show joint bleeding.
PCL injury may be seen using the following tests:
Knee joint x-ray
The posterior cruciate ligament (PCL) is the strongest ligament in the knee. It extends from the top-rear surface of the tibia (bone between the knee and ankle) to the bottom-front surface of the femur (bone that extends from the pelvis to the knee).
The ligament prev...
Tearing or rupturing the anterior cruciate ligament (ACL) is a common knee injury, especially in people who participate in certain sports. Because the injury doesn't heal on its own, surgeons take some tissue from below the knee or the hamstring area and use this to repair the tear. Tissue taken from your own body to repair an injury is called an autograft. Researchers wanted to compare the bone-patellar tendon-bone (BTB) autograft to the triple/quadruple semitendinosus (ST) autograft and the effects on the donor sites. The BTB autograft takes tissue from the tendon that connects the kneecap (patella) to the shin; the ST autograft takes the tissue from hamstrings (semitendinosus), found at the back of the thigh. The researchers thought that the BTB autograft would cause more problems to the patients' donor site than the ST autograft. They recruited 71 patients with unilateral (one-sided) ACL ruptures to participate in this prospective, randomized trial. The patients would receive one o...
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