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Sports Medicine
intermediate
X-Type

Posterior Cruciate Ligament Injuries

Knee Injuries

A 35-year-old woman presents after a motor vehicle accident where her knee struck the dashboard. She has knee pain and swelling. On examination, there is no varus or valgus instability. The posterior drawer test shows 12mm of posterior tibial translation that does not reduce with internal rotation. The quadriceps active test is positive. Radiographs show no fractures. Regarding posterior cruciate ligament injuries:

Mark each as TRUE or FALSE

A

The PCL is the primary restraint to posterior tibial translation; it has two bundles: the anterolate...

B

The classic mechanism is a "dashboard injury" with a direct blow to the proximal tibia with the knee...

C

The PCL is the primary restraint to anterior tibial translation; the posterior drawer test assesses ...

D

Posterior drawer test grades: Grade I (0-5mm, tibial plateau remains anterior to femoral condyles), ...

E

Isolated Grade I and II PCL injuries often do well with non-operative treatment (quadriceps strength...

Answer the questions to see explanations

Click T (True) or F (False) for each option