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Author Topic: PLCr, but not deficient?  (Read 2024 times)

Offline jHaehnel

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PLCr, but not deficient?
« on: April 23, 2012, 03:05:11 PM »
Hi,

About a month and a half ago, during off-season agility drills for football I severely injured my PLC. At the end of the drill we had to run and touch the basketball net. When I jumped to hit the net (I have done this drill many times before) I came down and my knee blew out. I tore my PCL, LCL, and PLC and had them all repaired. What I am trying to ask is, I see a lot of talk about PLC deficiency. Is it possible to tear the PLC and not be deficient? And if not does that mean that my other knee has a PLC deficiency?   
PCLr & PLCr March 2012

Offline Kaputt_Knee

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Re: PLCr, but not deficient?
« Reply #1 on: April 23, 2012, 04:08:22 PM »
What are you asking about?

PLC = Posterolteral Corner, i.e. the area on the outside at the rear of your knee where the fibula amongst other structures joins the knee capsule

PCL = Posterior Cruciate ligament, i.e the rear of the two crossed ligaments within the knee joint itself.

If your PLC is unstable, the grafts in your knee will most probably fail at some point. I believe that being PCL deficient is not as bad as losing the ACL in terms of future damage and stability. But I'm not a doctor or medico of any kind. Just a sufferer who had a PLC injury missed and three years of pain and bother until a surgeon recognised the problem.

 ;)
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

iain

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Re: PLCr, but not deficient?
« Reply #2 on: April 24, 2012, 06:18:49 PM »
Quote
. I believe that being PCL deficient is not as bad as losing the ACL in terms of future damage and stability. But I'm not a doctor or medico of any kind. Just a sufferer who had a PLC injury missed and three years of pain and bother until a surgeon recognised the problem.

 

Being devils advocate and acknowledging your caveat I just want to make the point that the PCL-deficient knee is a serious pathology  of functional disability, not functional instability as seen with an ACL disruption.

Not trying to score points but the pcl has been brushed aside as an infererence of not being important too many times ...

Offline Kaputt_Knee

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Re: PLCr, but not deficient?
« Reply #3 on: April 25, 2012, 05:27:39 AM »
Iain

If you look around here, there are many examples of the PCL being left as the surgery is not always successful and the problems ensuing can be greater. Hence the surgeons more readily repair the ACL to restore the functional stability. An isolated PCL tear is most commonly treated conservatively. If there is multiple ligament damage as there was in my case, they try to repair everything but the rehab is very problematic as the PCL repair requires a slow mobilisation rehab and the ACL requires quite an active protocol.

Whether you are trying to score points or not is totally irrelevent. Anyone can copy sections from Wiki, or are you a orthopaedic specialist of some kind  ;)
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

iain

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Re: PLCr, but not deficient?
« Reply #4 on: April 27, 2012, 12:50:53 PM »
Iain

If you look around here, there are many examples of the PCL being left as the surgery is not always successful and the problems ensuing can be greater. Hence the surgeons more readily repair the ACL to restore the functional stability. An isolated PCL tear is most commonly treated conservatively. If there is multiple ligament damage as there was in my case, they try to repair everything but the rehab is very problematic as the PCL repair requires a slow mobilisation rehab and the ACL requires quite an active protocol.

Whether you are trying to score points or not is totally irrelevent. Anyone can copy sections from Wiki, or are you a orthopaedic specialist of some kind  ;)



And you're not a surgeon either...  Your post stated your belief that pcl deciency isn't as bad as acl deficiency.  Well my opinion is that this isn't as black and white as your post first suggested

  Smiley or not  these comments are not helpful.  Perhaps you could have gracefully acknowledged this instead of being the forum alpha poster and counter attacking with"'you're not  a x" and "you lifted y".  The sentence I lifted was from a study published by ortho surgeons.

I now remember why I rarely come to this forum...   I'll leave you to your full time job of clocking post counts.

Offline jHaehnel

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Re: PLCr, but not deficient?
« Reply #5 on: August 09, 2012, 01:30:18 AM »
Hi,

Thanks for the feedback. I was just simply asking, when I research more about post lateral corner injuries. The information I find suggests that the reason for the injury is a deficient PLC. I was just curious if my left knee could also be more susceptible to a PLC injury. (Assuming my body's anatomy is symmetrical)

Thanks again.

PCLr & PLCr March 2012

Offline lenorem9

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Re: PLCr, but not deficient?
« Reply #6 on: September 22, 2012, 10:34:42 AM »
You asked:  Is it possible to tear the PLC and not be deficient?   I was able to run with a torn PLC but if I simply turned the wrong way picking up something from the floor my knee gave out and I found myself sitting on the floor.  So my simple answer is yes and no.  I would say my PLC was not deficient as long as I went flat and straight but as soon as I hit unstable ground or twisted in the wrong direction I was extremely deficient.  If you don't repair a torn PLC you're just a time bomb waiting to go off and take out the rest of your ligaments. 

Lenore
« Last Edit: September 22, 2012, 10:36:46 AM by lenorem9 »
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"