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. 2020 Jul;28(7):2091-2098.
doi: 10.1007/s00167-020-05919-4. Epub 2020 Mar 10.

Posterior cruciate ligament lesions are mainly present as combined lesions even in sports injuries

Michael Schlumberger  1 , Philipp Schuster  2   3 , Martin Eichinger  2 , Philipp Mayer  2 , Raul Mayr  4 , Micha Immendörfer  2 , Jörg Richter  2
Affiliations

Posterior cruciate ligament lesions are mainly present as combined lesions even in sports injuries

Michael Schlumberger et al. Knee Surg Sports Traumatol Arthrosc. 2020 Jul.

Abstract

Purpose: To analyse 1000 consecutive patients, treated with isolated or combined posterior cruciate ligament (PCL) reconstruction in a single centre according to the epidemiological factors and differences in injury patterns depending on the activity during trauma.

Methods: Between 2004 and 2019, one thousand isolated and combined PCL reconstructions were performed. The medical charts and surgical reports of all patients were analysed regarding epidemiological factors. The PCL lesions were divided into isolated and combined lesions with at least one additional ligamentous injury. The influence of activity during accident and additional injury on the presence of isolated or combined lesions and injury patterns was calculated.

Results: In 388 patients (38.8%), sporting activity was the main activity in PCL lesions, followed by traffic accidents in 350 patients (35.0%). Combined injuries were present in 227 patients (58.5%) with sports injuries and 251 patients (71.7%) with traffic accidents. Only during handball, an isolated PCL lesion (69.1%) was more common than a combined lesion. Highest rate of combined lesions was present in car accidents (91.7%). In all activities except skiing and biking, the most common additional peripheral injury was a tear of the posterolateral corner. In skiing and biking accidents, the most common additional peripheral lesion was a lesion of the medial collateral ligament. In patients with PCL lesion and additional fracture of the same lower extremity, a combined lesion was more common than an isolated lesion (p = 0.001).

Conclusion: Combined PCL lesions are more common than isolated lesions, even in sports injuries (except handball). Incidence and injury pattern vary depending on activity during trauma. Main additional peripheral lesion is a lesion of the posterolateral corner, except biking and skiing accidents where a medial lesion is more common.

Level of evidence: Level III.

Keywords: Epidemiology; Injury pattern; Knee dislocation; Multiligament injury; PCL; Posterior cruciate ligament; Sports injury.

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References

    1. Amis AA, Bull AMJ, Gupte CM, Hijazi I, Race A, Robinson JR (2003) Biomechanics of the PCL and related structures: posterolateral, posteromedial and meniscofemoral ligaments. Knee Surg Sports Traumatol Arthrosc 11:271–281 - DOI
    1. Dosher WB, Maxwell GT, Warth RJ, Harner CD (2019) Multiple Ligament Knee Injuries. Clin Sports Med 38:183–192 - DOI
    1. Fanelli GC (1993) Posterior cruciate ligament injuries in trauma patients. Arthroscopy 9:291–294 - DOI
    1. Fanelli GC, Giannotti BF, Edson CJ (1994) The posterior cruciate ligament arthroscopic evaluation and treatment. Arthroscopy 10:673–688 - DOI
    1. Frosch K-H, Akoto R, Drenck T, Heitmann M, Pahl C, Preiss A (2016) Arthroscopic popliteus bypass graft for posterolateral instabilities of the knee: A new surgical technique. Oper Orthop Traumatol 28:193–203 - DOI

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