Posterior Cruciate Ligament (PCL) Injury

There are four main stabilising ligaments in the knee that connect the thighbone (femur) to the shin bone (tibia). They are:

  • Anterior cruciate ligament (ACL)
  • Posterior cruciate ligament (PCL)
  • Medial collateral ligament (MCL)
  • Lateral collateral ligament (LCL)

The posterior cruciate ligament is the strongest ligament that runs along the back of the knee. It connects the thighbone (femur) to the top of the shin bone (tibia) and prevents the shin bone from moving too much and slipping behind the thighbone.

Injury to the posterior cruciate ligament occurs when there is direct force (trauma) to the front of the knee when the knee is bent, such as hitting the dashboard in a car accident or falling hard on a bent knee. The ligament may also be pulled or stretched in a twisting injury, which can happen if you land awkwardly after jumping.

However, PCL injuries are less common compared to ACL tears.

What are the symptoms of Posterior Cruciate Ligament (PCL) injury?

Symptoms include:

  • Knee joint instability
  • Knee joint pain
  • Knee swelling and tenderness in the space behind the knee (popliteal fossa)

How is Posterior Cruciate Ligament (PCL) injury diagnosed?

Diagnosis is made based on various investigations. Your doctor will first evaluate your medical history and symptoms before conducting a physical examination.

In order to assess your knee function, your doctor ask you to move your knee in different directions. Imaging tests such as X-ray, MRI, and CT scan may also be done.

How is Posterior Cruciate Ligament (PCL) injury treated?

Treatment for PCL injuries include non-surgical and surgical options, depending on the extent of injury:

  • R.I.C.E therapy to the knee - rest, ice, compression, elevation.
  • Medications to reduce pain and swelling.
  • Braces to support the knee.
  • Crutches to reduce the weight on the knee.
  • Physiotherapy to strengthen the supporting muscles and increase the range of motion.
  • Depending on your situation, your doctor may recommend surgery for ligament repair.

Book an appointment at Pantai Hospitals

A dedicated and expert team of Orthopaedic specialists at Pantai Hospital is available for consultation to provide the best care and assistance.

Get in touch with us to book an appointment today if you have concerns or questions regarding Posterior Cruciate Ligament (PCL) injury. We assure you the best possible care tailored to your specific needs.

Pantai Hospital has been accredited by the Malaysian Society for Quality in Health (MSQH) for its commitment to patient safety and service quality.

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