Posterior Cruciate Ligament Injuries
Are you looking for the best pcl injuries treatment in Hyderabad then consult the best doctor:
The posterior cruciate ligament is located at back of knee. It is one of several ligaments that connect the femur (thighbone) to tibia (shinbone). The posterior cruciate ligament keeps the tibia from moving too back too. An injury to the posterior cruciate ligament requires a very powerful force. A common cause of injury is bent knee hitting a dashboard in the car accident or a motorcycle accident or a football player falling on knee that is bent.
To understand pcl injuries treatment let us know the anatomy of pcl:
Two bones meet to form a knee joint: thighbone (femur) and shinbone (tibia). Your kneecap sits in front of joint to provide some protection.
Bones are linked to other bones by ligaments. There are four primary ligaments in your knee. They act like very strong ropes to hold the bones together and keep the knee stable.
Collateral Ligaments. These are found on sides of your knee. The medial collateral ligament is on insides and lateral collateral ligament is on the outside. They control sideways motion of your knee and brace it against unusual movement.
Cruciate ligaments. These are found inside your knee joint. They cross one other to form an “X” with the anterior cruciate ligament in front and the posterior cruciate ligament in back. The cruciate ligaments controls back and forth motion of your knee.
Normal knee anatomy. The posterior cruciate ligament, located at the back of the knee, is one of several ligaments that connects the femur (thighbone) to the tibia (shinbone). The posterior cruciate ligament keeps the shinbone from moving too back. It is stronger when compared to the anterior cruciate ligament and is injured less often. The posterior cruciate ligament has two parts that blend into one structure which is about a size of a person’s little finger.
Injuries to the posterior cruciate ligament are not as common as when compared to other knee ligament injuries. In fact, they are often subtle and more difficult to evaluate than other ligament injuries in knee. Hence they can be missed if knee is not properly examined.
Many times a posterior cruciate ligament injury occurs along with injuries to other structures in the knee like cartilage, other ligaments, and bone.
Injured ligaments are known as “sprains” and are graded on a severity scale.
Grade 1 Sprains. The ligaments are mildly damaged in a Grade 1 Sprain. It has been a bit stretched, but is still able to help keep the knee joint stable.
Grade 2 Sprains. A Grade 2 Sprain stretches the ligament to the point where it becomes very loose. This is often referred as a partial tear of the ligament.
Grade 3 Sprains. This type of sprain is most commonly referred as a complete tear of the ligament. The ligament has been split into two pieces and knee joint is unstable.
Posterior cruciate ligament tears tend to be partial tears with potential to heal on their own. People who have injured just their posterior cruciate ligaments are usually able to return to the sports without knee stability problems.
The typical symptoms of a posterior cruciate ligament injury are as follows:
• A Pain with swelling that occurs steadily and quickly after a injury
• A Swelling that makes the knee stiff and may cause a limp in it.
• Difficulty in walking
• The knee feels very unstable, like it may “give out”
Now that you got to know the symptoms then consult the best ligament surgeon in Hyderabad.
For the best clinical examination consult the best doctor for pcl injuries treatment in Hyderabad.
During the physical examination, your doctor will check all the structures of injured knee and compare them to non-injured knee. Your injured knee may appear to sag backwards when its bent. It might slide back, particularly when its bent beyond an angle of 90° . Other tests which may help your doctor confirm your diagnosis includes X-rays and magnetic resonance imaging (MRI).
X-rays. Although they mightbnot show any injury to your posterior cruciate ligaments , X-rays can show whether the ligaments tore off a piece of bone when its injured. This is called an avulsion fracture.
MRI. This study creates better images of soft tissues like a posterior cruciate ligament.
There are surgical and non surgical procedures for pcl injuries treatment which are as follows:
If you have injured just your posterior cruciate ligament, your injury may heal quite well without any surgery Your doctor may recommend simple, nonsurgical options.
To get the first hand pcl injuries treatment one should follow these quick steps, Initial treatment of knee injuries are as follows:
When you are first injured, the RICE method such as– rest, ice, gentle compression and elevation — can help you speed with the recovery.
Immobilization. Your doctor may recommend a brace to prevent your knee from any movement. To further protect your knee, you may be given crutches to keep you away from putting weight on your leg.
Physical therapy. As the swelling goes down, a careful rehabilitation program is done. Specific exercises will restore function to your knee and strengthen the leg muscles that supports it. Strengthening the muscles in the front of the thigh (quadriceps) has been shown to be a key factor in any successful recovery.
Your doctor may recommend surgery if you have any combined injuries. For example, if you have dislocated your knee and torn multiple ligaments including posterior cruciate ligament, surgery is almost necessary.
Rebuilding the ligament. Because sewing the ligament ends back together does not usually heals, a torn posterior cruciate ligament must be rebuilt. Your doctor will replace your torn ligament with tissue graft. This graft is taken from any another part of your body, or from another human donor (cadaver). It can take even several months for the graft to heal into your bone.
Procedure.Surgery to rebuild a posterior cruciate ligament is also done with an arthroscope using small cut. Arthroscopic surgery is very less invasive. The benefits of less invasive techniques include less pain from surgery, less time spent in a hospital, and quicker recovery times.
Surgical procedures to repair posterior cruciate ligaments continues to improve. More advanced techniques helps the patient resume a wider range of activities after the rehabilitation.
Whether your treatment involves a surgery or not, rehabilitation plays a vital role in pcl injuries treatment which helps in getting you back to your daily life activities. A physical therapy program will help you regain knee strength and also motion. If you had surgery, physical therapy will begin in 1 to 4 weeks after your procedure.
How long it takes you to recover from a posterior cruciate ligament injury will depend on severity of injury. Combined injuries often have a very slow recovery, but most patients do well over the period of time.
If your injury requires surgery, it may be several weeks before you return to any desk job – perhaps months if your job requires a lot of activities. Complete recovery typically requires 6 to 12 months.
Although it is a slow process, your commitment to therapy is most important factor in returning to any activity you enjoy.