Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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PCL Injury

PCL prevents posterior tibial translation; stronger than ACL. Mechanism: dashboard injury (posterior force on tibia), hyperflexion. Clinical: posterior sag sign, posterior drawer test. Imaging: MRI confirms tear; X-ray for avulsion fracture. Management: Grade I–II partial tears—conservative; Grade III/chronic—surgical reconstruction.

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PCL prevents posterior tibial translation; stronger than ACL. Mechanism: dashboard injury (posterior force on tibia), hyperflexion. Clinical: posterior sag sign, posterior drawer test. Imaging: MRI confirms tear; X-ray for avulsion fracture. Management: Grade I–II partial tears—conservative; Grade III/chronic—surgical reconstruction.
MCQs

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Question 1

What is the primary function of the posterior cruciate ligament (PCL)?

Question 2

Which of the following is the most common mechanism of injury for a PCL tear?

Question 3

Which clinical test is most sensitive for detecting a PCL tear?

Question 4

A patient presents with a positive posterior sag sign. What does this indicate?

Question 5

What is the recommended management for a Grade I PCL tear?

Question 6

In a Grade III PCL tear, what is the typical posterior drawer test result?

Question 7

What imaging modality is most effective for confirming a PCL tear?

Question 8

Which of the following statements about the PCL is true?

Question 9

Which of the following conditions is commonly assessed along with a PCL injury?

Question 10

In the context of PCL injuries, what does 'surgical reconstruction' typically refer to?