Posterior cruciate ligament insufficiency. A review of the literature

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Deutscher übersetzter Titel:Insuffizienz des hinteren Kreuzbands. Ein Literaturueberblick
Autor:Barton, Thomas M.; Torg, Joseph S.; Das, Marianne
Erschienen in:Sports medicine
Veröffentlicht:1 (1984), 6, S. 419-430, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource Elektronische Ressource (online)
Sprache:Englisch
ISSN:0112-1642, 1179-2035
DOI:10.2165/00007256-198401060-00002
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Erfassungsnummer:PU198807011852
Quelle:BISp

Abstract

on-bone preparation. Verf.-Referateration and rotation have been described. Posterior cruciate ligament insufficiency may result from an avulsion fracture involving the ligament-bone insertion of the ligament, usually from the posterior aspect of the proximal tibia. Also, disruption may occur as an intersubstance tear of the ligament, either as an isolated phenomenon or in combination with multiple ligamentous injuries. The importance of distinguishing between combined injuries associated with significant collateral and/or anterior cruciate ligament injuries from the isolated type lies in the fact that the prognosis for the isolated injuries is much better. Careful clinical evaluation of the knee with an acute posterior cruciate ligament injury will reveal subtle, but definite, findings peculiar to the lesion. The include the posterior sag sign, the posterior drawer sign, reverse pivot shift, GODFREYs test, and the presence of varus or valgus instability with the joint in full extension. In patients with chronic posterior cruciate ligament laxity, the presenting symptom is often that of patellar pain. It is generally agreed that avulsion fractures involving the ligament-bone insertion of the posterior cruciate ligament should be treated by open reduction and internal fixation. Surgical treatment of this lesion will result in excellent functional recovery. A variety of procedures have been reported for the management of acute disruption of the posterior cruciate ligament. Although most authors recommend a surgical approach to this problem, isolated lesions without associated internal derangement can be successfully managed conservatively. However, when operation is elected, the procedure of choice (as described by CLANCY) appears to be primary repair with augmentation consisting of a free graft of a bonepatellar te