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Physical Medicine and Rehabilitation for Posterior Cruciate Ligament Injury Differential Diagnoses

  • Author: Jawad Bhatti, MD; Chief Editor: Consuelo T Lorenzo, MD  more...
 
Updated: Oct 04, 2013
 
 

Diagnostic Considerations

These include the following:

  • Anserine bursitis
  • Quadriceps injury
  • Fibular head fracture
  • Gerdy tubercle avulsion

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Jawad Bhatti, MD Consulting Staff, Departments of Internal Medicine and Physical Medicine and Rehabilitation and Pain Management, Catahoula Parish District Hospital

Jawad Bhatti, MD is a member of the following medical societies: American Academy of Pain Medicine, American Academy of Physical Medicine and Rehabilitation, American College of Physicians-American Society of Internal Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Stephen Kishner, MD, MHA Professor of Clinical Medicine, Physical Medicine and Rehabilitation Residency Program Director, Louisiana State University School of Medicine in New Orleans

Stephen Kishner, MD, MHA is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine

Disclosure: Nothing to disclose.

Mahmoud Sarmini, MD Assistant Professor, Department of Medicine, Section of Physical Medicine and Rehabilitation, Louisiana State University School of Medicine

Mahmoud Sarmini, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, International Society of Physical and Rehabilitation Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Patrick M Foye, MD Director of Coccyx Pain Center, Professor and Interim Chair of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School; Co-Director of Musculoskeletal Fellowship, Co-Director of Back Pain Clinic, University Hospital

Patrick M Foye, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, International Spine Intervention Society, American Association of Neuromuscular and Electrodiagnostic Medicine, Association of Academic Physiatrists

Disclosure: Nothing to disclose.

Chief Editor

Consuelo T Lorenzo, MD Medical Director, Senior Products, Central North Region, Humana, Inc

Consuelo T Lorenzo, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation

Disclosure: Nothing to disclose.

Additional Contributors

Curtis W Slipman, MD Director, University of Pennsylvania Spine Center; Associate Professor, Department of Physical Medicine and Rehabilitation, University of Pennsylvania Medical Center

Curtis W Slipman, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, Association of Academic Physiatrists, International Association for the Study of Pain, North American Spine Society

Disclosure: Nothing to disclose.

References
  1. Schulz MS, Russe K, Weiler A, et al. Epidemiology of posterior cruciate ligament injuries. Arch Orthop Trauma Surg. 2003 May. 123(4):186-91. [Medline].

  2. Jung YB, Jung HJ, Yang JJ, et al. Characterization of spontaneous healing of chronic posterior cruciate ligament injury: analysis of instability and magnetic resonance imaging. J Magn Reson Imaging. 2008 Jun. 27(6):1336-40. [Medline].

  3. Brown JR, Trojian TH. Anterior and posterior cruciate ligament injuries. Prim Care. 2004 Dec. 31(4):925-56. [Medline].

  4. Hughston JC, Norwood LA Jr. The posterolateral drawer test and external rotational recurvatum test for posterolateral rotatory instability of the knee. Clin Orthop Relat Res. 1980 Mar-Apr. 82-7. [Medline].

  5. Daniel DM, Stone ML, Barnett P, et al. Use of the quadriceps active test to diagnose posterior cruciate-ligament disruption and measure posterior laxity of the knee. J Bone Joint Surg Am. 1988 Mar. 70(3):386-91. [Medline].

  6. Otani T, Matsumoto H, Suda Y, et al. Proper use of MR imaging in internal derangement of the knee (orthopedic surgeon's view). Semin Musculoskelet Radiol. 2001 Jun. 5(2):143-5. [Medline].

  7. Theodorou DJ, Theodorou SJ, Fithian DC, et al. Posterolateral complex knee injuries: magnetic resonance imaging with surgical correlation. Acta Radiol. 2005 May. 46(3):297-305. [Medline].

  8. Veltri DM, Warren RF. Isolated and combined posterior cruciate ligament injuries. J Am Acad Orthop Surg. 1993 Nov. 1(2):67-75. [Medline].

  9. Cosgarea AJ, Jay PR. Posterior cruciate ligament injuries: evaluation and management. J Am Acad Orthop Surg. 2001 Sep-Oct. 9(5):297-307. [Medline].

  10. MacLean CL, Taunton JE, Clement DB, et al. Eccentric and concentric isokinetic moment characteristics in the quadriceps and hamstrings of the chronic isolated posterior cruciate ligament injured knee. Br J Sports Med. 1999 Dec. 33(6):405-8. [Medline]. [Full Text].

  11. Cross MJ, Powell JF. Long-term followup of posterior cruciate ligament rupture: a study of 116 cases. Am J Sports Med. 1984 Jul-Aug. 12(4):292-7. [Medline].

  12. Dandy DJ, Pusey RJ. The long-term results of unrepaired tears of the posterior cruciate ligament. J Bone Joint Surg Br. 1982. 64(1):92-4. [Medline]. [Full Text].

  13. Jung YB, Tae SK, Lee YS, et al. Active non-operative treatment of acute isolated posterior cruciate ligament injury with cylinder cast immobilization. Knee Surg Sports Traumatol Arthrosc. 2008 Apr 17. [Medline].

  14. Fanelli GC, Stannard JP, Stuart MJ, Macdonald PB, Marx RG, Whelan DB, et al. Management of complex knee ligament injuries. Instr Course Lect. 2011. 60:523-35. [Medline].

  15. Edson CJ, Fanelli GC, Beck JD. Rehabilitation after multiple-ligament reconstruction of the knee. Sports Med Arthrosc. 2011 Jun. 19(2):162-6. [Medline].

  16. Edson CJ, Fanelli GC, Beck JD. Postoperative rehabilitation of the posterior cruciate ligament. Sports Med Arthrosc. 2010 Dec. 18(4):275-9. [Medline].

  17. Nicandri GT, Klineberg EO, Wahl CJ, et al. Treatment of posterior cruciate ligament tibial avulsion fractures through a modified open posterior approach: operative technique and 12- to 48-month outcomes. J Orthop Trauma. 2008 May-Jun. 22(5):317-24. [Medline].

  18. Bianchi M. Acute tears of the posterior cruciate ligament: clinical study and results of operative treatment in 27 cases. Am J Sports Med. 1983 Sep-Oct. 11(5):308-14. [Medline].

  19. Hughston JC, Degenhardt TC. Reconstruction of the posterior cruciate ligament. Clin Orthop Relat Res. 1982 Apr. 59-77. [Medline].

  20. Hayashi R, Kitamura N, Kondo E, et al. Simultaneous anterior and posterior cruciate ligament reconstruction in chronic knee instabilities: surgical concepts and clinical outcome. Knee Surg Sports Traumatol Arthrosc. 2008 Jun 7. [Medline].

  21. Fanelli GC, Edson CJ. Combined posterior cruciate ligament-posterolateral reconstructions with Achilles tendon allograft and biceps femoris tendon tenodesis: 2- to 10-year follow-up. Arthroscopy. 2004 Apr. 20(4):339-45. [Medline].

  22. Zhao J, Xiaoqiao H, He Y, et al. Sandwich-style posterior cruciate ligament reconstruction. Arthroscopy. 2008 Jun. 24(6):650-9. [Medline].

  23. Wang SM, Kain ZN, White PF. Acupuncture analgesia: II. Clinical considerations. Anesth Analg. 2008 Feb. 106(2):611-21, table of contents. [Medline].

  24. Eyigör S, Karapolat H, Ibisoglu U, et al. [Does transcutaneous electrical nerve stimulation or therapeutic ultrasound increase the effectiveness of exercise for knee osteoarthritis: a randomized controlled study.]. Agri. 2008 Jan. 20(1):32-40. [Medline].

  25. Beynnon BD, Johnson RJ, Naud S, Fleming BC, Abate JA, Brattbakk B, et al. Accelerated Versus Nonaccelerated Rehabilitation After Anterior Cruciate Ligament Reconstruction: A Prospective, Randomized, Double-Blind Investigation Evaluating Knee Joint Laxity Using Roentgen Stereophotogrammetric Analysis. Am J Sports Med. 2011 Sep 27. [Medline].

  26. DeLee JC, Bergfeld JA, Drez D. The posterior cruciate ligament. Ortho Sports Med. 1994. 2:1374-400.

  27. Fontboté CA, Sell TC, Laudner KG, et al. Neuromuscular and biomechanical adaptations of patients with isolated deficiency of the posterior cruciate ligament. Am J Sports Med. 2005 Jul. 33(7):982-9. [Medline].

  28. Gill TJ, DeFrate LE, Wang C, et al. The effect of posterior cruciate ligament reconstruction on patellofemoral contact pressures in the knee joint under simulated muscle loads. Am J Sports Med. 2004 Jan-Feb. 32(1):109-15. [Medline].

  29. Gollehon DL, Torzilli PA, Warren RF. The role of the posterolateral and cruciate ligaments in the stability of the human knee. A biomechanical study. J Bone Joint Surg Am. 1987 Feb. 69(2):233-42. [Medline].

  30. Kannus P, Jarvinen M. Nonoperative treatment of acute knee ligament injuries. A review with special reference to indications and methods. Sports Med. 1990 Apr. 9(4):244-60. [Medline].

  31. Markey KL. Functional rehabilitation of the cruciate-deficient knee. Sports Med. 1991 Dec. 12(6):407-17. [Medline].

  32. Matava MJ, Sethi NS, Totty WG. Proximity of the posterior cruciate ligament insertion to the popliteal artery as a function of the knee flexion angle: implications for posterior cruciate ligament reconstruction. Arthroscopy. 2000 Nov. 16(8):796-804. [Medline].

  33. Miller MD, Bergfeld JA, Fowler PJ, et al. The posterior cruciate ligament injured knee: principles of evaluation and treatment. Instr Course Lect. 1999. 48:199-207. [Medline].

  34. Morgan EA, Wroble RR. Diagnosing posterior cruciate ligament injuries. Physician Sports Med. Nov 1997. 25(11):1-9.

  35. Parolie JM, Bergfeld JA. Long-term results of nonoperative treatment of isolated posterior cruciate ligament injuries in the athlete. Am J Sports Med. 1986 Jan-Feb. 14(1):35-8. [Medline].

  36. Senter C, Hame SL. Biomechanical analysis of tibial torque and knee flexion angle: implications for understanding knee injury. Sports Med. 2006. 36(8):635-41. [Medline].

  37. Shelbourne KD, Muthukaruppan Y. Subjective results of nonoperatively treated, acute, isolated posterior cruciate ligament injuries. Arthroscopy. 2005 Apr. 21(4):457-61. [Medline].

  38. Tegner Y. Strength training in the rehabilitation of cruciate ligament tears. Sports Med. 1990 Feb. 9(2):129-36. [Medline].

  39. Tibone JE, Antich TJ, Perry J, et al. Functional analysis of untreated and reconstructed posterior cruciate ligament injuries. Am J Sports Med. 1988 May-Jun. 16(3):217-23. [Medline].

  40. Torg JS, Barton TM, Pavlov H, et al. Natural history of the posterior cruciate ligament-deficient knee. Clin Orthop Relat Res. 1989 Sep. 208-16. [Medline].

  41. Van Dommelen BA, Fowler PJ. Anatomy of the posterior cruciate ligament. A review. Am J Sports Med. 1989 Jan-Feb. 17(1):24-9. [Medline].

  42. Winters K, Tregonning R. Reliability of magnetic resonance imaging of the traumatic knee as determined by arthroscopy. N Z Med J. 2005 Feb 11. 118(1209):U1301. [Medline].

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