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Diagnose PCL Sprains EASILY [Physical Therapist’s Guide]


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In as we speak’s video we go over: Diagnose PCL Sprains EASILY [Physical Therapist’s Guide]

Struggling to confidently assess PCL accidents?

🤔 This video breaks down the important thing medical examination methods you NEED to know. As PTs, we all know PCL tears are much less widespread however usually complicated. Let’s sharpen your abilities and guarantee you do not miss essential particulars!

We’ll cowl:

✅ Frequent mechanisms of damage (dashboard, sports activities impacts, falls)

✅ Important particular exams (Posterior Drawer, Step-Off Check, Godfrey’s Signal & extra!)

✅ The right way to differentiate PCL accidents from ACL and different knee pathologies.

✅ Sensible takeaways for grading severity and when to refer.

Timeline:

  • 0:00 – Intro
  • 0:20 – PCL Background
  • 0:32 – PCL Accidents in Isolation
  • 0:42 – Frequent Populations
  • 0:50 – Mechanism of Damage
  • 2:10 – Subjective Complaints
  • 3:15 – Joint Effusion
  • 3:41 – Tibio-femoral Step-off Check
  • 4:30 – Grading Damage Severity
  • 5:03 – Posterior Drawer Check
  • 5:37 – Laxity Testing
  • 6:08 – Posterior Sag & Godfrey
  • 6:31 – Quadriceps Energetic Check
  • 7:08 – Recurvatum Check
  • 7:31 – Differential Analysis
  • 9:06 – Sensible Take-away

It is a PCL!!

– Dan Pope DPT,OCS,CSCS

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Thanks!

Dan Pope DPT, OCS, CSCS

References: 

  1. Wang D, Graziano J, Williams RJ third, Jones KJ. Nonoperative Therapy of PCL Accidents: Objectives of Rehabilitation and the Pure Historical past of Conservative Care. Curr Rev Musculoskelet Med. 2018 Jun;11(2):290-297. doi: 10.1007/s12178-018-9487-y. PMID: 29721691; PMCID: PMC5970122.

  2. Wang SH, Chien WC, Chung CH, Wang YC, Lin LC, Pan RY. Lengthy-term outcomes of posterior cruciate ligament tear with or with out reconstruction: A nationwide, population-based cohort research. PLoS One. 2018 Oct 3;13(10):e0205118. doi: 10.1371/journal.pone.0205118. PMID: 30281658; PMCID: PMC6169976.

  3. Pache S, Aman ZS, Kennedy M, Nakama GY, Moatshe G, Ziegler C, LaPrade RF. Posterior Cruciate Ligament: Present Ideas Evaluation. Arch Bone Jt Surg. 2018 Jan;6(1):8-18. PMID: 29430489; PMCID: PMC5799606.

  4. Mariani PP, Margheritini F, Christel P, Bellelli A. Analysis of posterior cruciate ligament therapeutic: a research utilizing magnetic resonance imaging and stress radiography. Arthroscopy. 2005 Nov;21(11):1354-61. doi: 10.1016/j.arthro.2005.07.028. PMID: 16325087.

  5. Pache S, Aman ZS, Kennedy M, Nakama GY, Moatshe G, Ziegler C, LaPrade RF. Posterior Cruciate Ligament: Present Ideas Evaluation. Arch Bone Jt Surg. 2018 Jan;6(1):8-18. PMID: 29430489; PMCID: PMC5799606.

  6. Agolley D, Gabr A, Benjamin-Laing H, Haddad FS. Profitable return to sports activities in athletes following non-operative administration of acute remoted posterior cruciate ligament accidents: medium-term follow-up. Bone Joint J. 2017 Jun;99-B(6):774-778. doi: 10.1302/0301-620X.99B6.37953. PMID: 28566396.

  7. Kopkow C, Freiberg A, Kirschner S, Seidler A, Schmitt J. Bodily examination exams for the analysis of posterior cruciate ligament rupture: a scientific evaluate. J Orthop Sports activities Phys Ther. 2013 Nov;43(11):804-13. doi: 10.2519/jospt.2013.4906. Epub 2013 Oct 11. PMID: 24175598.

  8. Rubinstein RA Jr, Shelbourne KD, McCarroll JR, VanMeter CD, Rettig AC. The accuracy of the medical examination within the setting of posterior cruciate ligament accidents. Am J Sports activities Med. 1994 Jul-Aug;22(4):550-7. doi: 10.1177/036354659402200419. PMID: 7943523.

  9. Rupp GE, Adrian KMV, Bomar JD, Chau J, Pennock AT, Edmonds EW. Comparability of Outcomes in Pediatric and Adolescent Posterior Cruciate Ligament Accidents With and With out Meniscal Tears: Operative Versus Nonoperative Administration. Orthop J Sports activities Med. 2024 Jan 22;12(1):23259671231222281. doi: 10.1177/23259671231222281. PMID: 38264411; PMCID: PMC10804905.

  10. Wang D, Graziano J, Williams RJ third, Jones KJ. Nonoperative Therapy of PCL Accidents: Objectives of Rehabilitation and the Pure Historical past of Conservative Care. Curr Rev Musculoskelet Med. 2018 Jun;11(2):290-297. doi: 10.1007/s12178-018-9487-y. PMID: 29721691; PMCID: PMC5970122.

  11. Paroneto AC, Gomes PS, Carrijo PV, Cohen M, Ramos LA. Outcomes After Posterior Cruciate Ligament Reconstruction With Suture Tape Augmentation and an Accelerated Rehabilitation Protocol: A Retrospective Cohort Research. Orthop J Sports activities Med. 2025 Feb 6;13(2):23259671241308590. doi: 10.1177/23259671241308590. PMID: 39926586; PMCID: PMC11806459.

  12. Zsidai B, Winkler PW, Naarup E, Olsson E, Horvath A, Moatshe G, Lind M, Musahl V, Hamrin Senorski E, Samuelsson Okay. Analysis of Components Related With Brief-term Failure After Main Remoted PCL Reconstruction: A Research of Sufferers From the Swedish and Norwegian Knee Ligament Registries. Orthop J Sports activities Med. 2025 Jan 3;13(1):23259671241305191. doi: 10.1177/23259671241305191. PMID: 39758146; PMCID: PMC11700431.

  13. Montgomery SR, Johnson JS, McAllister DR, Petrigliano FA. Surgical administration of PCL accidents: indications, methods, and outcomes. Curr Rev Musculoskelet Med. 2013 Jun;6(2):115-23. doi: 10.1007/s12178-013-9162-2. PMID: 23430587; PMCID: PMC3702782.

  14. Pizza N, Di Paolo S, Grassi A, Pagano A, Viotto M, Dal Fabbro G, Agostinone P, Lucidi GA, Monllau JC, Zaffagnini S. Good long-term sufferers reported outcomes, return-to-work and return-to-sport charge and survivorship after posterior cruciate ligament (PCL)-based multiligament knee accidents (MLKI) with posteromedial nook tears as vital danger issue for failure. Knee Surg Sports activities Traumatol Arthrosc. 2023 Nov;31(11):5018-5024. doi: 10.1007/s00167-023-07547-0. Epub 2023 Sep 5. PMID: 37668614; PMCID: PMC10598146.

  15. Paroneto AC, Gomes PS, Carrijo PV, Cohen M, Ramos LA. Outcomes After Posterior Cruciate Ligament Reconstruction With Suture Tape Augmentation and an Accelerated Rehabilitation Protocol: A Retrospective Cohort Research. Orthop J Sports activities Med. 2025 Feb 6;13(2):23259671241308590. doi: 10.1177/23259671241308590. PMID: 39926586; PMCID: PMC11806459.

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