Re: PCL Tear

The Kneeboard
Community is here!

Create a profile:
tell your Knee Story!

Check out the new
Knee article library!

[ View Thread ] [ Post Response ] [ Return to Index ] [ Read Prev Msg ] [ Read Next Msg ]

Bob's ACL WWWBoard

Re: PCL Tear

Posted By: SueBW
Date: Sunday, 2 March 2008, at 7:08 a.m.

In Response To: PCL Tare (ScottT)

> SueBW,
> I am looking for guidance with my daughter. She has a
> complete tare of her pcl and a partial tare of her acl. She
> is 16 years old and a very competitive soccer player. Her
> club season (including several college showcase
> tournaments) starts in a month and her HS try-outs are in
> august. Is surgery a must or is physical therapy an option?
> Can she play with a knee in this condiction and what are
> longer term consequences?
The question we would first address is if the PCL is indeed completely deficient. The criteria are > 10 mm of increased posterior tibial translation (drop-back) on clinical examination and stress x-ray. The second question is what is the amount of increased anterior tibial translation and pivot-shift test result (to determine the extent of the ACL tear). Third, is there any damage to either meniscus or other ligament structure. In injuries such as this (I'm assuming this damage is the result of a single injury....or is it from multiple injuries?), it is not uncommon for other structures to be damaged. Importantly, the posterolateral structures, including the lateral collateral ligament, must be examined carefully.
Did she sustain any bone bruising and if so, to what extent? THis would be evident on MRI.
Has she undergone formal rehabilitation? If so, for how long? Has she undergone functional testing to determine her knee's ability to withstand turning, twisting, cutting, and pivoting? What is the strength of her quadriceps and hamstrings in comparison to the opposite leg (this is tested using an isokiknetic machine).
Without the above information, it really isn't possible to provide a valid answer to your question. She could be at high risk for further damage to her knee if several of the above variables exist and if she hasn't properly rehabilitated her knee. In our opinion, a complete PCL tear does provide, in a highly competitive athlete, an increased risk for early joint damage (in a manner similar to a complete ACL tear which is not surgically reconstructed). We just have seen too many patients who present with a history similar to your daughter's in their early 20's with knees already arthritic. They undergo PCL reconstruction, but the results in terms of functional outcome are inferior to those who undergo early PCL recon.
If you can provide answers to the above questions, I'd be happy to correspond further.
SueBW

Messages In This Thread

PCL Tare (views: 213) -- ScottT -- Saturday, 1 March 2008, at 6:05 p.m.
- Re: PCL Tare (views: 137) -- keylyme -- Saturday, 8 March 2008, at 9:53 p.m.
  - Re: PCL Tare (views: 114) -- Becky Thomas -- Saturday, 8 March 2008, at 11:16 p.m.
    - Re: PCL Tare (views: 179) -- drmark -- Sunday, 9 March 2008, at 11:01 a.m.
      - Re: PCL Tare (views: 118) -- keylyme -- Sunday, 9 March 2008, at 11:42 p.m.
        
        Re: PCL Tare (views: 118) -- drmark -- Monday, 10 March 2008, at 12:03 a.m.
- Re: PCL Tare (views: 144) -- kathryn irby -- Wednesday, 5 March 2008, at 11:09 a.m.
- Re: PCL Tear (views: 223) -- SueBW -- Sunday, 2 March 2008, at 7:08 a.m.
  - Re: PCL Tear (views: 185) -- ScottT -- Sunday, 2 March 2008, at 1:48 p.m.
- Re: PCL Tare (views: 169) -- Becky Thomas -- Saturday, 1 March 2008, at 10:12 p.m.
- Re: PCL Tear (views: 208) -- drmark -- Saturday, 1 March 2008, at 6:12 p.m.

Post Response

Your Name:
E-Mail Address:
Subject:
Message: > The question we would first address is if the PCL is indeed > completely deficient. The criteria are > 10 mm of > increased posterior tibial translation (drop-back) on > clinical examination and stress x-ray. The second question > is what is the amount of increased anterior tibial > translation and pivot-shift test result (to determine the > extent of the ACL tear). Third, is there any damage to > either meniscus or other ligament structure. In injuries > such as this (I'm assuming this damage is the result of a > single injury....or is it from multiple injuries?), it is > not uncommon for other structures to be damaged. > Importantly, the posterolateral structures, including the > lateral collateral ligament, must be examined carefully. > Did she sustain any bone bruising and if so, to what > extent? THis would be evident on MRI. > Has she undergone formal rehabilitation? If so, for how > long? Has she undergone functional testing to determine her > knee's ability to withstand turning, twisting, cutting, and > pivoting? What is the strength of her quadriceps and > hamstrings in comparison to the opposite leg (this is > tested using an isokiknetic machine). > Without the above information, it really isn't possible to > provide a valid answer to your question. She could be at > high risk for further damage to her knee if several of the > above variables exist and if she hasn't properly > rehabilitated her knee. In our opinion, a complete PCL tear > does provide, in a highly competitive athlete, an increased > risk for early joint damage (in a manner similar to a > complete ACL tear which is not surgically reconstructed). > We just have seen too many patients who present with a > history similar to your daughter's in their early 20's with > knees already arthritic. They undergo PCL reconstruction, > but the results in terms of functional outcome are inferior > to those who undergo early PCL recon. > If you can provide answers to the above questions, I'd be > happy to correspond further. > SueBW
If necessary, enter your password below:
Password:
Save Password:	Yes No
If you'd like e-mail notification of responses, please check this box:

[ View Thread ] [ Post Response ] [ Return to Index ] [ Read Prev Msg ] [ Read Next Msg ]

Bob's ACL WWWBoard is maintained by virtual Bob with WebBBS 5.00.