Scott T. Doberstein is Assistant Professor of Physical Education and Head Athletic Trainer at Millikin University, Decatur, IL.
J Athl Train. 1997 Apr;32(2):155-8.
To present a case of a collegiate basketball player treated conservatively for an incomplete tear of the posterior cruciate ligament (PCL).
The PCL is the strongest ligament of the knee, but PCL injuries are rare during athletic activity especially when compared with anterior cruciate ligament (ACL) injuries.
ACL injury, confusion.
Treatment options include either conservative management or surgical intervention. Although controversy exists as to which method produces the best results, it appears that good functional outcomes can result from aggressive rehabilitation alone.
The athlete was reluctant to report the injury because she thought it was only a bruise. Once assessed with a PCL sprain, the athlete adamantly refused to see a physician for a definitive diagnosis. The infrequent occurrence and the apparent lack of knowledge regarding mechanism and clinical presentation of PCL injuries often result in misdiagnosis. Subsequently, patients with unrecognized involvement of the PCL may respond inadequately to rehabilitation measures.
Based on the literature, it appears that athletes who suffer isolated PCL injuries can achieve good functional results when treated conservatively. A vital component to the success of managing PCL injuries is the athletic trainer's being well versed in the recognition of signs, symptoms, and mechanisms of injury, as well as being knowledgeable in evaluation techniques that lead to assessment of this infrequent injury.
报告一名大学生篮球运动员接受保守治疗不完全性后交叉韧带（PCL）撕裂的病例。
PCL 是膝关节最强的韧带，但在运动活动中，PCL 损伤很少见，尤其是与前交叉韧带（ACL）损伤相比。
ACL 损伤，混淆。
治疗选择包括保守治疗或手术干预。虽然对于哪种方法产生的结果最好存在争议，但似乎积极的康复治疗本身就可以产生良好的功能结果。
运动员不愿意报告受伤，因为她认为只是瘀伤。一旦被评估为 PCL 扭伤，运动员就坚决拒绝看医生以明确诊断。PCL 损伤的罕见发生和对其机制和临床表现的明显缺乏了解，往往导致误诊。随后，未被识别的 PCL 损伤的患者可能对康复措施反应不佳。
根据文献，似乎遭受孤立性 PCL 损伤的运动员在接受保守治疗时可以获得良好的功能结果。管理 PCL 损伤成功的一个重要因素是运动训练员精通识别迹象、症状和损伤机制，以及熟悉导致评估这种罕见损伤的评估技术。
