A PCL tear refers to an injury to the posterior cruciate ligament (PCL), which is located at the back of the knee. The PCL plays a crucial role in stabilizing the knee by preventing the shinbone (tibia) from sliding backward relative to the thighbone (femur). PCL injuries are less common than ACL tears and are typically caused by a direct blow to the front of the knee or overextension. Common scenarios include car accidents (dashboard injuries) or sports injuries. Symptoms may include swelling, pain, instability, and difficulty walking. Treatment options depend on the severity and range from conservative management to surgical reconstruction in severe cases.
Causes
- Direct impact to the front of the knee while the knee is bent (e.g., car accidents).
- Overextension or hyperflexion of the knee.
- Sports injuries during contact or awkward landings.
Symptoms
- Pain and swelling in the knee.
- Difficulty walking or bearing weight.
- A feeling of instability, especially when going downhill or descending stairs.
- Stiffness or reduced range of motion.
Diagnosis
- Physical tests, such as the posterior drawer test.
- Imaging: X-rays (to rule out fractures) and MRI for ligament visualization.
Rehabilitation
- Focuses on strengthening the quadriceps and improving knee stability.
- Gradual return to daily activities and sports over several months.