Anatomical-functional specifics of posterior cruciate ligament injury (literature review)

Authors

DOI:

https://doi.org/10.15674/0030-598720164124-133

Keywords:

posterior crucial ligament, anatomy, mechanism of injury, diagnosis

Abstract

Posterior crucial ligament injury is one of the worst damage of the knee joint, which in a short time results in complex disor­ders of joint biomechanics. Quite rapidly develops decompen­sated instability, arthritis progresses, due to the involvement in the pathological process meniscus, articular cartilage and other joint structures. Often the results are unsatisfactory treat­ment of patients with posterior crucial ligament injury relation­ships and a significant increase in disability due to late diagno­sis and inappropriate, untimely and inadequate continue treat­ment initiation.

Objective: to generalize current understanding of the functional features anatomotopohrafic and and functional specifics of posterior crucial ligament injuries and methods for their detection.

Methods: we conducted ianformation ana­lytic search for the purpose of scientific libraries in English, databases Pubmed, Medline, Cochrane Library and Russian editions in the period from 1991 to 2015. It is showed features of the structure, blood supply and innervation of posterior cru­cial ligament. The mechanisms of injury, damage, clinical findings and diagnostic measures for their detection.

Conclusions: posterior crucial ligament injury usually remains unrecognized and therefore untreated. It can be mistakenly interpreted as an­terior instability and only a after the years crucial ligament in­jury detected when a patient complaining of pain in the femur or patella or secondary patellar instability in the knee joint. A wide variety of surgical techniques, using different types of trans­plantation, and often small number of short observation period after operation limiting the credibility of the results, requiring further study the problem.

References

  1. Dubrov VE. Surgical correction of the cruciate and collateral ligaments of the knee joint during the acute phase of injury: сlinical and experimental research. Dissertation doctor of medical sciences. Moskow, 2003. 48 p. (in Russian)
  2. Klimenko GS. The blood supply of the knee joint cruciate ligament injuries when closed. Orthopaedics, Traumatology and Prosthetics. 1994;(1):59-61. (in Russian)
  3. Kotelnikov GP, Kuropatkin GV, Brewers MV. Biomechanics posttraumatic instability of the knee. Biomechanical studies in traumatology and orthopedics. Moskow, 1988, рр. 13-6. (in Russian)
  4. Levenets VM, Lіnko YV, Moskotіn P. Current approaches to diagnosis and treatment of knee instability. Orthopаedics, Traumatology and Prosthetics. 2000;(1):10-4. (in Ukrainian)
  5. Linko YV. Diagnosis and treatment of posterior instability of the knee. Оrthopаedics, Traumatology and Prosthetics. 2001;(1):106-9. (in Russian)
  6. Linko YV. Anatomical and functional bases of the clinical manifestations of the back of the knee joint instability. Proceedings of NMAPE P.L. Shupyk. 2000;9:47-51.
  7. Lіnko YV. Posttraumatic rear nestabіlnіst kolіnnogo Suglob (klіnіko-experiental doslіdzhennya): аbstract dis. the candidate of medical science. Kyiv, 2004. 16 p. (in Ukrainian)
  8. Lisitsyn M.P. Arthroscopic diagnosis and treatment of acute and chronic damage to the capsule-ligamentous structures of the knee joint in athletes: аbstract dis. the candidate of medical science. Moskow, 1996. 196 p. (in Russian)
  9. Nikitin VV, Hempen AM. Immuno-physiological aspects of clinical and surgical tactics in injuries of joints and ligaments. Ufa, 1992. 121 p. (in Russian)
  10. Orletsky AK. Operative treatment of posttraumatic chronic instability of the knee joint: аbstract dis. the doctor of medical science. Moskow, 1998. 38 p. (in Russian)
  11. Osti M, Tschann P, Kunzel KH, Benedetto KP. Anatomie characteristics and radiographic references of the anterolateral and posteromedial bundles of the posterior cruciate ligament. Am J Sports Med. 2012;40(7):1558–63. doi: 10.1177/0363546512445166.
  12. Benedetto KP. Arthroskopischer ersatz des hinteren kreuzbandes. Jatros Unfallchirurgie & Sporttraumatologie. 2012;4:6–8.
  13. Benedetto KP. Tibial-inlay-Technik beim hinteren Kreuzbandersatz. Arthroskopie. 2006;19(3):258–64. doi: 10.1007/s00142-006-0361-3.
  14. Campbell RB, Jordan SS, Sekiya JK. Arthroscopic tibial inlay for posterior cruciate ligament reconstruction. Arthroscopy. 2007;23(12):1356.e1–e4. doi: 10.1016/j.arthro.2007.01.020
  15. Christel P. Basic principles for surgical reconstruction of the PCL in chronic posterior knee instability. Knee Surg Sports Traumatol Arthrose. 2003;11(5):289–96. doi: 10.1007/s00167-003-0407-2.
  16. Cury Rde P, Mestriner MB, Kaleka CC, Severino NR, de Oliveira VM, Camargo OP. Double-bundle PCL reconstruction using autogenous quadriceps tendon and semitendinous graft: surgical technique with 2-year follow-up clinical results. Knee. 2014;21(3):763–8. doi: 10.1016/j.knee.2014.02.021.
  17. Jordan SS, Campbell RB, Sekiya JK. Posterior cruciate ligament reconstruction using a new arthroscopic tibial inlay double-bundle technique. Sports Med Arthrose. 2007;15(4):176–83. doi: 10.1097/JSA.0b013e3181595b95.
  18. Jung TM, Schmeling A, Weiler A. Periphere Instabilitäten bei Läsion des hinteren Kreuzbandes. Arthroskopie. 2006;19(3):265–76. doi: 10.1007/s00142-006-0359-x.
  19. Margheritini F, Frascari Diotallevi F, Mariani PP. Posterior cruciate ligament reconstruction using an arthroscopic femoral inlay technique. Knee Surg Sports Traumatol. Arthrose. 2011;19(12):2033–5. doi: 10.1007/s00167-011-1469-1.
  20. Mariani PP, Margheritini F. Full arthroscopic inlay reconstruction of posterior cruciate ligament. Knee Surg. Sports Traumatol Arthrose. 2006;14(11):1038–44.
  21. McAllister DR, Hussain SM. Tibial inlay posterior cruciate ligament recon¬struction: surgicai techniques and results. Sports Med Arthrose. 2010;8(4):249–53. doi: 10.1097/JSA.0b013e3181faaee1.
  22. Petersen W, Zantop T, Tillmann B. Anatomie des hinteren Kreuzbandes sowie der posterolateralen und posteromedialen Strukturen. Arthroskopie. 2006;19(3):198–206. doi: 10.1007/s00142-006-0357-z.
  23. Petersen W, Zantop T. Biomechanik des hinteren Kreuzbandes und der hinteren Instability. Arthroskopie. 2006;19(3):207–14. doi: 10.1007/s00142-006-0358-y
  24. Russe K, Schulz MS, Strobel MJ. Epidemiologie der hinteren Kreuzbandverletzung. Arthroskopie. 2006;19(3):215–20. doi: 10.1007/s00142-006-0354-2.
  25. Schewe B, Fritz J. Die Rekonstruktion des hinteren Kreuzbandes Operationstechnik. SFA Arthroskopie Aktuell, 2007. 20 p.
  26. Schulz MS, Richter J. Diagnostik der hinteren Kreuzbandlasion. Arthroskopie. 2006;19(3):221–8. doi: 10.1007/s00142-006-0355-1.
  27. Seon JK, Song EK. Reconstruction of isolated posterior cruciate ligament injuries: a clinical comparison of the transtibial and tibial inlay techniques. Arthrsocopy. 2006;22(1):27–32.
  28. Strobel MJ, Weiler A. Therapie der chronischen HKB-Lasion. Arthroskopie. 2006;19(3):243–57. doi: 10.1007/s00142-006-0360-4.
  29. Montgomery SR, Johnson JS, McAllister DR, Petrigliano FA. Surgical management of PCL injuries: indications, techniques, and outcomes. Curr. Rev. Musculoskelet. Med. 2013;6(2):115–23. doi: 10.1007/s12178-013-9162-2.
  30. Chuang TY, Chen CH, Chou SW, Chen YJ, Chen WJ. Tibial inlay technique with quardriceps tendon-bone autograft for posterior cruciate ligament. Arthroscopy. 2004;20(3):331–5. doi: 10.1016/j.arthro.2003.11.043.
  31. Weiler A, Schmeling A, Jung TM. Management der akuten HKB-Verletzung. Arthroskopie. 2006;19(3):229–42. doi: 10.1007/s00142-006-0356-0.

Downloads

How to Cite

Golovakha, M., Didenko, I., Krasnoperov, S., Titarchuk, R., Benedetto К., & Orljanski, W. (2017). Anatomical-functional specifics of posterior cruciate ligament injury (literature review). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (4), 124–133. https://doi.org/10.15674/0030-598720164124-133

Issue

No. 4 (2016)

Section

DIGESTS AND REVIEWS

License

Copyright (c) 2017 Maksim Golovakha, Inna Didenko, Sergiy Krasnoperov, Rostyslav Titarchuk, Karl Benedetto, Veniamin Orljanski

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).