&lt;p&gt;Epidemiological Data on LCL and PCL Injuries Over 17 Seasons in Men’s Professional Soccer: The UEFA Elite Club Injury Study&lt;/p&gt;

Lundblad, Matilda; Hägglund, Martin; Thomeé, Christoffer; Senorski, Eric Hamrin; Ekstrand, Jan; Karlsson, Jón; Waldén, Markus

doi:10.2147/oajsm.s237997

Cited by 8 publications

(2 citation statements)

References 27 publications

(38 reference statements)

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“…In addition, an epidemiological study demonstrated a median lay-off time of 31 days after PCL injury for professional male soccer players. However, these prospectively collected data in men’s professional soccer included all grades of PCL injuries as well as operatively and non-operatively treated athletes [ 48 ]. Accordingly, initial non-operative management based on functional bracing and rehabilitation with optional delayed PCL-R seems to be reasonable for isolated acute PCL injuries, even for high-level athletes with grade III PCL injuries [ 2 ].…”

Section: Non-operative Treatment Rehabilitation and Return-to-sportmentioning

confidence: 99%

Evolving evidence in the treatment of primary and recurrent posterior cruciate ligament injuries, part 2: surgical techniques, outcomes and rehabilitation

Winkler

Zsidai

Wagala

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Isolated and combined posterior cruciate ligament (PCL) injuries are associated with severe limitations in daily, professional, and sports activities as well as with devastating long-term effects for the knee joint. As the number of primary and recurrent PCL injuries increases, so does the body of literature, with high-quality evidence evolving in recent years. However, the debate about the ideal treatment approach such as; operative vs. non-operative; single-bundle vs. double-bundle reconstruction; transtibial vs. tibial inlay technique, continues. Ultimately, the goal in the treatment of PCL injuries is restoring native knee kinematics and preventing residual posterior and combined rotatory knee laxity through an individualized approach. Certain demographic, anatomical, and surgical risk factors for failures in operative treatment have been identified. Failures after PCL reconstruction are increasing, confronting the treating surgeon with challenges including the need for revision PCL reconstruction. Part 2 of the evidence-based update on the management of primary and recurrent PCL injuries will summarize the outcomes of operative and non-operative treatment including indications, surgical techniques, complications, and risk factors for recurrent PCL deficiency. This paper aims to support surgeons in decision-making for the treatment of PCL injuries by systematically evaluating underlying risk factors, thus preventing postoperative complications and recurrent knee laxity. Level of evidence V.

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Section: Non-operative Treatment Rehabilitation and Return-to-sportmentioning

confidence: 99%

Evolving evidence in the treatment of primary and recurrent posterior cruciate ligament injuries, part 2: surgical techniques, outcomes and rehabilitation

Winkler

Zsidai

Wagala

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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show abstract

“…Understanding the causes and epidemiology of PCL injuries is essential in identifying risk factors and developing effective prevention strategies. 4…”

Section: Introductionmentioning

confidence: 99%

Effect of Balance and Strength Training in Proprioception and Functioning of Posterior Cruciate Ligament After Injury: A Case Study

2023

IJFMR

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Background/Purpose: This case study aims to evaluate the impact of a comprehensive rehabilitation program, including a combination of balance and strength training exercises, on knee function, pain, and quality of life. Case Description: This case study explores the effects of balance and strength training in the rehabilitation of a 23-year-old male patient, Vishal Vaishnavi, who sustained a posterior cruciate ligament (PCL) injury while playing football. Patient’s objective in physical therapy was to resume functional activities and return to sports as soon as possible. Outcome: The results of the study revealed significant improvements in all five subscales of the KOOS, including pain, symptoms, activities of daily living (ADL), sports and recreation (sport/rec), and knee-related quality of life (QoL). Additionally, the IKDC score showed a notable improvement in knee function, pain, and subjective knee stability Discussion: The case study highlights the importance of a personalized and progressive rehabilitation approach for PCL injury patients. By targeting specific needs and goals through a combination of balance and strength training exercises, healthcare professionals can facilitate significant improvements in knee function, pain reduction, and enhanced quality of life. This study contributes to the body of evidence supporting the effectiveness of balance and strength training in the rehabilitation of PCL injury patients, emphasizing the importance of a multidimensional approach to optimize outcomes and promote successful return to activity.

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Injuries of the posteromedial bundle of the posterior cruciate ligament after knee hyperextension trauma: A new clinical entity based on an original case series

Mouton,

Ibañez,

Hoffmann

et al. 2024

J. exp. orthop.

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PurposeThis original case series aims to describe an uncommon triad of clinical signs in patients presenting with persistent pain and inability to resume physical activities after knee hyperextension trauma.MethodsPatient history, clinical examination, arthroscopic findings and investigations of 12 patients who consulted with the senior author are presented.ResultsTwelve patients (seven males/five females) presented with persistent pain after knee hyperextension trauma either in sport or a traffic accident. They had a median age of 18.5 and a median body mass index of 23 kg/m2. All had medical visits and at least one magnetic resonance imaging (MRI) before visiting the senior author's institution but the cause of their problems could not be explained. The clinical examination of the injured knee appeared normal except for an uncommon triad of clinical signs with the knee close to extension: (1) a grade 1+ anterior–posterior laxity around 10–20° of knee flexion with a firm end‐point (pseudo‐Lachman sign), (2) a grade 1+ tibiofemoral step‐off sign with a posterior drawer at 10–20° of knee flexion and (3) an increased knee hyperextension compared to the contralateral side. Arthroscopy of eight patients confirmed the pseudo‐Lachman sign with a grade I posterior drawer close to knee extension, normal posterior laxity at 90° of knee flexion and an intact anterior cruciate ligament.ConclusionPatients displayed an increased hyperextension and posterior laxity close to knee extension which normalised at 90° of knee flexion. In patients with a history of knee hyperextension trauma associated with persistent pain, inability to resume physical activities, inconclusive MRIs and a standard clinical examination, clinicians should consider extending their investigations with the knee close to extension to identify this clinical triad consistent with a lesion to the posteromedial bundle of the posterior cruciate ligament.Level of evidenceLevel IV.

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<p>Epidemiological Data on LCL and PCL Injuries Over 17 Seasons in Men’s Professional Soccer: The UEFA Elite Club Injury Study</p>

Cited by 8 publications

References 27 publications

Evolving evidence in the treatment of primary and recurrent posterior cruciate ligament injuries, part 2: surgical techniques, outcomes and rehabilitation

Evolving evidence in the treatment of primary and recurrent posterior cruciate ligament injuries, part 2: surgical techniques, outcomes and rehabilitation

Effect of Balance and Strength Training in Proprioception and Functioning of Posterior Cruciate Ligament After Injury: A Case Study

Injuries of the posteromedial bundle of the posterior cruciate ligament after knee hyperextension trauma: A new clinical entity based on an original case series

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