What is a PCL Injury?

Located in the center of the knee joint, the posterior cruciate ligament (PCL) helps maintain knee stability during everyday and sporting activities. The PCL prevents the tibia (shinbone) from sliding too far backward and keeps the tibia and femur (thighbone) in alignment. It is the strongest ligament in the knee, making PCL injuries less common, accounting for just over 20% of reported knee injuries.

Dr. Khaleel, Senior Consultant Arthroscopic Knee and Sports Surgeon at Kims Alshifa, Perintalmanna, Kerala, India, specializes in diagnosing and treating PCL injuries.

Causes of a PCL Injury

• Hyperextension: The knee joint is forced backward beyond its normal range.
• Direct Impact: A forceful blow to the front of the shinbone, pushing it backward.
• Common Scenarios:
  • A basketball player falling on a bent knee.
  • A hockey player sliding into a wall or goalpost.
  • A patient hitting the dashboard in a car accident.

Symptoms of a PCL Tear

• Immediate swelling and pain in the knee.
• Decreased range of motion.
• Increased pain with knee movement.
• Instability when walking (often seen with severe PCL tears).

Diagnosing a PCL Injury

Dr. Khaleel will perform a physical examination and various diagnostic tests to confirm a PCL injury.

Tests Performed:

• Reverse Lachman’s Test: Evaluates the integrity of the PCL.
• Posterior Drawer Test: Assesses knee function and mobility.
• X-rays & MRI: Used to examine bone structures and soft tissue damage.

Grading of PCL Injuries

• Grade 1: A small, partial tear.
• Grade 2: A larger but incomplete tear.
• Grade 3: A complete PCL tear.

Treatment for PCL Injuries

Non-Surgical Treatment

• RICE Therapy: Rest, Ice, Compression, and Elevation.
• Physical Therapy: Strengthening exercises for knee stability.
• Bracing: Provides knee support and prevents excessive movement.

Surgical Treatment

• Arthroscopic Surgery: Minimally invasive procedure to repair or reconstruct the PCL.
• Tissue Grafts: Autografts (patient's tissue) or allografts (donor tissue) are used to replace the damaged ligament.

Expert Care for PCL Injuries

Dr. Khaleel ensures personalized treatment plans for PCL injuries, providing optimal recovery and a return to normal activities. For more information or to schedule a consultation, please contact Dr. Khaleel at Kims Alshifa, Perintalmanna, Kerala, India.