Conservative Treatment for Acute Combined Injuries of the Posterior Cruciate and Medial Collateral Ligaments
| Autor: | Masami Tokunaga, Eiji Yoshimoto, Shusaku Matsuda, Shiro Hiroshima, Toshihiro Odera, Takatoshi Okubo |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Medial collateral ligament
medicine.medical_specialty medicine.diagnostic_test business.industry Arthroscopy Magnetic resonance imaging musculoskeletal system Brace Surgery Conservative treatment medicine.anatomical_structure Functional stability Posterior cruciate ligament medicine business Hamstring |
| Zdroj: | Orthopedics & Traumatology. 52:422-428 |
| ISSN: | 1349-4333 0037-1033 |
| DOI: | 10.5035/nishiseisai.52.422 |
| Popis: | There are few reports on the conservative treatment of acute combined injuries of the posterior cruciate ligament (PCL) and medial collateral ligament (MCL). This study investigated 8 cases at one year after conservative treatment. All cases were men with a mean age of 26.7 years (range: 15 to 39) and an average follow-up of 19 months (range: 12 to 28). All 8 patients had undergone magnetic resonance imaging (MRI). Arthroscopy following the injury was performed to rule out intra-articular pathology and to identify the degree of the PCL tear. They were treated by immobilization of the knee in a plaster cast for about five weeks and the use of Don-Joy brace for three to six months. Full return to sports activity was allowed six months after adequate quadriceps and hamstring muscle strength was demonstrated. The clinical results were evaluated by the IKDC score. Subjective evaluation based on the IKDC score rated 6 as normal, 1 as nearly normal, 1 as abnormal. However, in view of total evaluation, 2 were rated as nearly normal, 5 as abnormal, 1 as severely abnormal. These results indicate the necessity of surgical treatment for achieving static and functional stability of the PCL. |
| Databáze: | OpenAIRE |
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