Re: PCL Tare

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Re: PCL Tare

Posted By: drmark
Date: Sunday, 9 March 2008, at 11:01 a.m.

In Response To: Re: PCL Tare (Becky Thomas)

Sorry to inform the pro surgery folks, but most PCL tears do pretty well if you don't mess with them. Here is a natural history article's abstract from the AJSM
The Natural History of Acute, Isolated, Nonoperatively Treated Posterior Cruciate Ligament Injuries
A Prospective Study
K.Donald Shelbourne, MD, Thorp J. Davis, MD and Dipak V. Patel, MD
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.

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: 222) -- 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.

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Message: > Sorry to inform the pro surgery folks, but most PCL tears > do pretty well if you don't mess with them. Here is a > natural history article's abstract from the AJSM > The Natural History of Acute, Isolated, Nonoperatively > Treated Posterior Cruciate Ligament Injuries > A Prospective Study > K.Donald Shelbourne, MD, Thorp J. Davis, MD and Dipak V. > Patel, MD > 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.
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