Condition guide

Posterior Cruciate Ligament (PCL) Injury - Overview

An injury to the posterior cruciate ligament (PCL), often resulting from a direct blow to the front of the knee or a fall on a bent knee.

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Symptoms

  • Mild to moderate knee pain
  • Swelling in the knee joint
  • Instability or a wobbly feeling
  • Difficulty walking downhill or on uneven surfaces
  • Stiffness in the knee

Causes & Risk Factors

  • Car accidents (dashboard injuries)
  • Falling directly on the knee
  • Sports collisions
  • Sudden changes in direction
  • Weak hamstrings

Diagnosis

  • Physical examination (posterior drawer test)
  • MRI for ligament assessment
  • X-rays to rule out bone damage
  • Functional testing

Effective Treatment Options

  • Rest and immobilization
  • Physical therapy and rehabilitation
  • Knee bracing
  • Surgery in severe or chronic cases
  • Strengthening exercises for posterior chain

Frequently Asked Questions

Is PCL injury worse than ACL?

PCL injuries are generally less common and less severe but can still cause instability.

Can a PCL tear heal on its own?

Partial tears often heal with rehab, but complete tears may need surgery.

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Learn about assessment, rehabilitation and consultation preparation in these treatment guides.

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