Injured posterior cruciate ligament of the knee

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The posterior cruciate ligament is the largest and strongest ligament in the knee and provides stability. PCL injuries are usually sustained from high-energy trauma (e.g. collision with a car). Sports activities are the second most common cause of injury. Isolated injuries of the PCL are uncommon. Symptoms will depend on the severity of the impact; in the event of a serious accident, it will be accompanied by more injuries, instability in the knee and even dislocation. If the tear is isolated, symptoms are more subtle, such as effusion, limp and pain in the back of the knee. Diagnosis is suspected due to the mechanism of the injury and is confirmed with an MRI scan or arthroscopy. Basic protection treatments are applied: rest, ice, compression, elevation and anti-inflammatory medication. In cases where the injury causes instability of the knee, surgical repair may be necessary.
Bibliographic references
  1. James MacDonald. Posterior cruciate ligament injury. UpToDate. Jul, 2016.
  2. Wind WM Jr. Evaluation and treatment of posterior cruciate ligament injuries: revisited. Am J Sports Med 2004; 32:1765.
  3. McAllister DR. Diagnosis and treatment of posterior cruciate ligament injuries. Curr Sports Med Rep 2007; 6:293.
  4. Voos JE. Posterior cruciate ligament: anatomy, biomechanics, and outcomes. Am J Sports Med 2012; 40:222.
  5. John J. Cush. Valoración de los trastornos articulares y musculoesqueléticos. Harrison. Principios de Medicina Interna, 19e. Cap 393
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Unstable knee


    Knee pain increase when bearing weight


    Pain in the back of the knee


    Knee pain


    Swollen knee

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Pain that does not subside with analgesics.

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Keep the limb raised
Relative rest, rest until symptoms subside.
Apply local cold to the injured area 3 times a day to reduce inflammation.
Avoid sudden movements.