For citation purposes: Sedeek SM, Choudry Q, Karunatilake NAA, Arshad MS. Posterior cruciate ligament injury: Diagnosis and management. Hard Tissue 2014 Jul 14;3(2):11.

Critical review

Trauma & Orthopaedics

Posterior cruciate ligament injury: Diagnosis and management.

S Sedeek, Q Choudry, N Karunatilake, M Arshad

Authors affiliations

(1) East Lancashire hospital , Royal Blackburn hospital , Blackburn , United Kingdom

* Corresponding author Email:



Posterior cruciate ligament (PCL) injuries are less common than other knee injuries, but they account for considerable morbidity. PCL injuries have unique features that require specialized diagnostic skills and management.

PCL injuries can result from high or low velocity trauma with the former being more common. Taking a careful history and performing a detailed physical examination are imperative when a PCL injury is suspected. While in grade I and grade II injuries can be managed conservatively, the best management for patients with grade III injuries remains a subject of discussion and debate.


This article describes the pathogenesis of PCL injuries and presents a review of the literature with an emphasis on assessment, management and rehabilitation.


PCL injuries are less common compared to the other ligamentous injuries of the knee. Nevertheless, they can result in significant morbidity and limitation for the injured patient. The physician should have a high index of suspicion for PCL injuries when examining patients presenting with knee injuries.

Licensee OA Publishing London 2014. Creative Commons Attribution License (CC-BY)