March, 2023

INJURIES TO THE POSTERIOR CRUCIATE LIGAMENT

Written by: Motric Recovery

Posterior cruciate ligament ruptures are less common compared to other knee injuries. Together with the anterior cruciate ligament, the posterior cruciate ligament has the role of stabilizing the knee. In case of rupture of any of the 2 ligaments, instability of the knee associated with pain and its swelling (swelling) appears.

Ligaments are bands of strong tissue that connect the bones together, so the crossed ligaments connect the bones of the thigh, respectively the femur, with the bones of the calf, respectively the tibia. The cruciate ligaments, anterior and posterior, form a cross in the central part of the knee.

The posterior cruciate ligament can most often injure or rupture during the practice of a sport, when it is subjected to hyperextension, in case of falling or running into another player. It can also break in case of car accident, if the knee hits the car board.

ligament

If a posterior cruciate ligament rupture is suspected, tests will be performed to determine the stability of the knee and an MRI examination to confirm the diagnosis.

The duration of the recovery in case of rupture of the posterior cruciate ligament depends on the degree of rupture, so 1st degrees ruptures can recover in about 6 weeks, the 2nd degree ruptures – up to 12 weeks and in case of a 3rd degree rupture, recovery may last between 6-9 months and surgery may be needed.

ANATOMY OF THE KNEE

The knee is one of the largest and most complex joints of the body, having a complex functionality. The knee joint must be mobile and supple to allow flexion and extension of the lower limb and also stable to support the entire weight of the body. Walking, running, jumping, twisting on the heels, braking, stopping, more or less sudden are roles of the knee that generate numerous pressures, managed by the bone, ligamentous, meniscal and muscular structures of the knee. The tendons keep the muscles and bones of the knee connected to allow the knee joint to move.

Ligaments join with all the bones of the knee giving stability to the knee. The anterior cruciate ligament is the one that prevents the femur from sliding backwards along the tibia, the posterior cruciate ligament prevents the femur from sliding forward along the tibia and the collateral ligaments, laterally and medially, prevent the femur from sliding from side to side.
HOW DO WE TREAT POSTERIOR CRUCIATE LIGAMENT INJURIES?

1. DRUG TREATMENT

Anti-inflammatory drugs help reduce pain and inflammation, but are recommended for short periods of time, 7-14 days.

2. CRYOTHERAPY

Ice applied topically, in sessions of 5-10 minutes, 3-5 times a day helps reduce inflammation and swelling (swelling) of the knee.

3. KNEE COMPRESSION

Compressive bandage, applied immediately after injury, helps reduce pain and improves the recovery process.

4. PHYSICAL THERAPY

Physical therapy, through specific exercises programs, toning and stretching, helps:

➢ reduce pain and inflammation
➢ restore the functionality of the joint
➢ tone the stabilizing muscles of the knee. A toned/strong muscle provides both stability to the joint and prevents relapses and/or injuries.

5. AIDING ORTHOPEDIC MEANS

During the recovery process, the knee will be protected with the help of an orthosis or crutches, thus avoiding loading it.

6. INTRAARTICULAR FLUID ASPIRATION

If joint fluid is formed in excess and prevents the restoration of the joint functionality, suction will be used to remove it.

7. SURGERY

Arthroscopy (a surgical technique) is necessary if the rupture of the posterior cruciate ligament is severe or is associated with other knee injuries.

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