Cargando…

Posterior cruciate ligament injury: characteristics and associations of most frequent injuries()()

OBJECTIVE: To investigate the prevalence and combinations of PCL injuries and their correlations with the mechanism, the occurrence of evident dislocation and associated fracture. METHOD: A retrospective study of 85 lesions of PCL operated between 2003 and 2010. Diagnosis by physical examination and...

Descripción completa

Detalles Bibliográficos
Autores principales: Caldas, Marco Túlio Lopes, Braga, Gilberto Ferreira, Mendes, Samuel Lopes, da Silveira, Juliano Martins, Kopke, Robson Massi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6565966/
https://www.ncbi.nlm.nih.gov/pubmed/31304147
http://dx.doi.org/10.1016/j.rboe.2012.09.010
_version_ 1783426755557588992
author Caldas, Marco Túlio Lopes
Braga, Gilberto Ferreira
Mendes, Samuel Lopes
da Silveira, Juliano Martins
Kopke, Robson Massi
author_facet Caldas, Marco Túlio Lopes
Braga, Gilberto Ferreira
Mendes, Samuel Lopes
da Silveira, Juliano Martins
Kopke, Robson Massi
author_sort Caldas, Marco Túlio Lopes
collection PubMed
description OBJECTIVE: To investigate the prevalence and combinations of PCL injuries and their correlations with the mechanism, the occurrence of evident dislocation and associated fracture. METHOD: A retrospective study of 85 lesions of PCL operated between 2003 and 2010. Diagnosis by physical examination and dynamic radiography, compared with surgical findings. RESULTS: Injuries involving the PCL were more prevalent in men (78.8%) with a mean age of 33 years. The main cause was traffic accidents (73.80%), and (49.4%) motorcycle. Isolated PCL injury occurred in (15.3%) cases, and combined (84.7%). Among the isolated lesions, bone avulsions were nine (10.6%). The most associated PCL injuries were the ACL (48.2%), followed by LCL PCL/PLC (22.4%). Fractures were more associated with combining PCL + LCL/PLC injuries and did not appear in the PCL + MCL/PMC. Complications beyond fractures: peripheral nerve injury (4.8%) and vascular (1.2%). Evident dislocation in primary care (16.7%) was more prevalent in combined ACL + PCL + MCL/PMC (44.4%). Half the patients were operated during the acute phase. There was a statistically significant difference (p < 0.05) comparing each combination of ligament injuries with the presence of fracture, dislocation or clear mechanism of injury. CONCLUSION: Surgical treatment of PCL injuries in a center for orthopedic trauma care was mostly multiligament and mainly involving the ACL. A significant association was seen between the type of injury with mechanism of injury, presentation of the knee, if dislocated or reduced, and the presence of associated fracture.
format Online
Article
Text
id pubmed-6565966
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-65659662019-07-12 Posterior cruciate ligament injury: characteristics and associations of most frequent injuries()() Caldas, Marco Túlio Lopes Braga, Gilberto Ferreira Mendes, Samuel Lopes da Silveira, Juliano Martins Kopke, Robson Massi Rev Bras Ortop Original Article OBJECTIVE: To investigate the prevalence and combinations of PCL injuries and their correlations with the mechanism, the occurrence of evident dislocation and associated fracture. METHOD: A retrospective study of 85 lesions of PCL operated between 2003 and 2010. Diagnosis by physical examination and dynamic radiography, compared with surgical findings. RESULTS: Injuries involving the PCL were more prevalent in men (78.8%) with a mean age of 33 years. The main cause was traffic accidents (73.80%), and (49.4%) motorcycle. Isolated PCL injury occurred in (15.3%) cases, and combined (84.7%). Among the isolated lesions, bone avulsions were nine (10.6%). The most associated PCL injuries were the ACL (48.2%), followed by LCL PCL/PLC (22.4%). Fractures were more associated with combining PCL + LCL/PLC injuries and did not appear in the PCL + MCL/PMC. Complications beyond fractures: peripheral nerve injury (4.8%) and vascular (1.2%). Evident dislocation in primary care (16.7%) was more prevalent in combined ACL + PCL + MCL/PMC (44.4%). Half the patients were operated during the acute phase. There was a statistically significant difference (p < 0.05) comparing each combination of ligament injuries with the presence of fracture, dislocation or clear mechanism of injury. CONCLUSION: Surgical treatment of PCL injuries in a center for orthopedic trauma care was mostly multiligament and mainly involving the ACL. A significant association was seen between the type of injury with mechanism of injury, presentation of the knee, if dislocated or reduced, and the presence of associated fracture. Elsevier 2013-10-22 /pmc/articles/PMC6565966/ /pubmed/31304147 http://dx.doi.org/10.1016/j.rboe.2012.09.010 Text en © 2013 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Caldas, Marco Túlio Lopes
Braga, Gilberto Ferreira
Mendes, Samuel Lopes
da Silveira, Juliano Martins
Kopke, Robson Massi
Posterior cruciate ligament injury: characteristics and associations of most frequent injuries()()
title Posterior cruciate ligament injury: characteristics and associations of most frequent injuries()()
title_full Posterior cruciate ligament injury: characteristics and associations of most frequent injuries()()
title_fullStr Posterior cruciate ligament injury: characteristics and associations of most frequent injuries()()
title_full_unstemmed Posterior cruciate ligament injury: characteristics and associations of most frequent injuries()()
title_short Posterior cruciate ligament injury: characteristics and associations of most frequent injuries()()
title_sort posterior cruciate ligament injury: characteristics and associations of most frequent injuries()()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6565966/
https://www.ncbi.nlm.nih.gov/pubmed/31304147
http://dx.doi.org/10.1016/j.rboe.2012.09.010
work_keys_str_mv AT caldasmarcotuliolopes posteriorcruciateligamentinjurycharacteristicsandassociationsofmostfrequentinjuries
AT bragagilbertoferreira posteriorcruciateligamentinjurycharacteristicsandassociationsofmostfrequentinjuries
AT mendessamuellopes posteriorcruciateligamentinjurycharacteristicsandassociationsofmostfrequentinjuries
AT dasilveirajulianomartins posteriorcruciateligamentinjurycharacteristicsandassociationsofmostfrequentinjuries
AT kopkerobsonmassi posteriorcruciateligamentinjurycharacteristicsandassociationsofmostfrequentinjuries