Telos stress røntgen:
< 7 mm partial PCL læsion
8-11 mm Total læsion
>12 mm multiligament læsion.
Indikation:
< 8 mm posteriore løshed.
Plan:
PCL skinne i 3 måneder i 0-90 grader, tryk: 10/10 alternativt 10/6.
Fra uge 8 til 12 ved bevægelighedstræning > 90 grader
PCL skinne seponeres efter uge 12.
- Undgå bagud træk: eg undgå hamstering træning + PCL brace i 3 måneder.
- Fysioterapi med fokus på quadriceps.
Klinisk Kontrol ved idrætskirurg.
Arbejde efter 4-12 uger
- RTP: 7-8 måneder ca.
Outcome:
- The natural history of acute, isolated, nonoperatively treated posterior cruciate ligament injuries. A prospective study, Shelbourne et al J.Am J Sports Med. May-Jun 1999;27(3):276-83
- 68 pt.: Sixty-eight of the 133 patients returned to the clinic for long-term follow-up evaluation. Objectively, physical examination revealed no change in laxity from initial injury to followup. No correlation was found between radiographic joint space narrowing and grade of laxity. The mean modified Noyes knee score was 84.2 points, the mean Lysholm score was 83.4, and the mean Tegner activity score was 5.7. Patients with greater laxity did not have worse subjective scores
- Minimum 10-Year Follow-up of Patients After an Acute, Isolated Posterior Cruciate Ligament Injury Treated Nonoperatively. K. DonaldShelbourne. American Journal of Sports Medicine.2013 Jul;41(7):1526-3
- 44 pt. :Long-term results after an isolated PCL injury show that patients remain active, have good strength and full knee range of motion, and report good subjective scores. The prevalence of moderate to severe osteoarthritis was 11%.
Nonoperative Treatment of PCL Injuries: Goals of Rehabilitation and the Natural History of Conservative Care. Current Reviews in Musculoskeletal Medicine volume 11, pages290–297(2018)
- Nonoperative treatment of isolated PCL injuries results in good subjective outcomes and high rate of return to sport.