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Bob's ACL WWWBoard
Re: PCL Tare
Posted By: keylyme
Date: Sunday, 9 March 2008, at 11:42 p.m.
In Response To: Re: PCL Tare (drmark)
> 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.
I am not pro-surgery if it's not necessary. What about the possible partial acl tear the op's daughter has suffered? Is that rehab-able? Is that even a word???
Messages In This Thread
- PCL Tare (views: 212) -- 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: 113) -- Becky Thomas -- Saturday, 8 March 2008, at 11:16 p.m.
- Re: PCL Tare (views: 178) -- 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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