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Author Topic: Complete PCL Tear  (Read 8665 times)

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Offline cisco_leon

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Complete PCL Tear
« on: June 09, 2005, 09:14:17 AM »
Hi guys,
My younger brother recently diagnosed with a complete tear of the PCL in his left knee - is devastated. He is a promising basketball player. His OS has not recommended surgery - and has decided to see how he repsonds with therapy. He has even said that my brother can play to pain if need be. Problem is, I don't think the doctor realises the level that my brother needs to play at. He went to his PT today for the first time, and was told that a completely torn PCL will never heal istelf. The fact is true as you all know, and he is so disappointed.

I feel terrible for him, and helpless. He is a good kid, at 18 years old he doesn't know what else to do but be brave about it. I guess that's why i'm so upset for him.

He has had one MRI and one OS look at his knee. Do we settle for that? I live in Syd Australia, I don't know who the specialists are, but did any of you settle with one OS's opinion?

His PT today ran him through the excercises, and he was atounded at why there wasn't more pain - being a complete tear and all.

Is it possible that the tear isn't complete? Is one MRI possibly not accurate enough?

Maybe I'm reaching here.

Has anyone out there had a PCL reconstruction only? Do you recommend it? Is getting to 100% possible after the operation?

Please help.

Cisco.



Offline Alla

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Re: Complete PCL Tear
« Reply #1 on: June 09, 2005, 12:14:45 PM »
Hi there

I'm in australia too, although in Victoria.  I had an ACL reco 5 weeks ago.... so I cant offer much on a PCL reco, but if you were able to travel I'd recommend the OS I saw in Melbourne. He does many of the victorian based AFL players recos and things like that. I did settle for his opinion and saw no others.... he was very professional and everything he said made sense. Let me know if you want his name.

If you aren't keen for the travelling thing.... here is a link to a site that lists some OS's in sydney.... hope it helps...

 http://www.injuryupdate.com.au/forum/showthread.php?t=385

Let me know how you go....
Alla
Torn ACL December 04
ACL Reco May 05
Cleared to return to sport May 06

Offline KJ

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Re: Complete PCL Tear
« Reply #2 on: June 09, 2005, 08:52:51 PM »
Don'tbe too despondent about not being offered surgery - if the PCL is the only ligament ruptured, even completely, that is usually the recommendation. The England soccer goalkeeper David James ruptured his PCL a few years back and was soon back playing and even as an elite sportsman he did not have surgery.
I have a friend who ruptured her PCL and MCL whilst skiing and was back doing triathlons the following year as well as skiing again. In general the rehab will be quicker than recovering from ACL surgery.
KJ
ACL/PCL/MCL/PLC rupture April 01
diagnostic arthroscopy June 01
PCL reconstuction Sept 01;  MUA  Oct 01
ACL reconstruction Nov 01; arthroscopy Jan 03
HTO,posterolateral recon + ACL/PCL revision recons Sept 03;
MUA Jan 04
arthroscopic debridement of scartissue May 04
metalwork removal April 05

Offline jb-knee-geek

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Re: Complete PCL Tear
« Reply #3 on: June 09, 2005, 09:25:51 PM »
try this link, there's not much here about PCL surgery.

You may have to seek out an OS who specializes with injured athletes with knee problems.

http://www.orthoassociates.com/knee_lig.htm
torn RK ACL March 2001, surgery Aug. 14 2006, after 4 knee sprains since Oct. '05.  Allograft, ~40% medial meniscus removed, some wear in the trochlear groove. Everything else looks good.

Post-op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=29749.

shadehawk

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Re: Complete PCL Tear
« Reply #4 on: June 10, 2005, 12:58:41 PM »
Hi,

Your brother could also get a second opinion from another OS - not every OS can treat PCL injuries.   He should also check out bracing from his OS - maybe this would give him enough stability to play the game again.....

Another site that you might want to check out:

http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/25965.htm

Sorry about your brother's injury,

Shade

Offline Nikki_1414

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Re: Complete PCL Tear
« Reply #5 on: June 10, 2005, 05:31:51 PM »
Hi

I was originally told that I had a complete PCL tear along with a complete ACL tear. Like your brother, the physio was very surprised I was even walking when I first saw him and even more surprised at my ability to do all exercises with very little/no pain.

I have since discovered that in fact I did not have a complete PCL tear but the ligament wass still attached at both end and just extremely badly stretched in the middle. It took a second MRI to confirm this so they are not always right or interpreted correctly.

I am now 7 months post-injury and have not had surgery on either ligament and my knee is now really stable.
I have recently returned to trampolining (the sport I was doing when I injured knee) but have to wear a brace for protection although I don't feel I need it.

I am only young too (21) and was absolutely devastated when I originally got injured but with some persistence with the physio and a determination to get back to sport it is possible. If you want any more advice on my experience of PCL injury I would be happy to help.

Good luck to your brother
Nikki


21 year old
Oct 2004 - dislocated knee, torn ACL and PCL while trampolining
May 2005 - trampolining again!!!!!

Offline coustics

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Re: Complete PCL Tear
« Reply #6 on: June 13, 2005, 08:29:41 AM »
While scoring a goal in a soccer match, sadly my nine year old son has severed his pcl without any bone attached. The mri scan revealed that the ligament is laying the correct way and the knee specialist has intimated that, because of the boy's age, he expects the the ligament to 'grow back.' He will evaluate the stability of the knee in 6 weeks and decide what further action should be taken if any.

Has anyone had experience of a similar injury to a young child? Is it likely that the ligament will reattach itself to the bone in such a young person? As far as I know, ligaments do not reattach themselves or grow back.

Offline jb-knee-geek

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Re: Complete PCL Tear
« Reply #7 on: June 13, 2005, 02:22:24 PM »
youngsters face different rehab issues than adults.

you'll need to find an OS who specializes in knee injuries in children. not an easy task...

to my knowledge ligaments don't grow back, check this link: http://www.orthoassociates.com/knee_lig.htm
torn RK ACL March 2001, surgery Aug. 14 2006, after 4 knee sprains since Oct. '05.  Allograft, ~40% medial meniscus removed, some wear in the trochlear groove. Everything else looks good.

Post-op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=29749.

Offline KJ

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Re: Complete PCL Tear
« Reply #8 on: June 13, 2005, 08:04:47 PM »
Sorry but an 18 yr old is not a child. The only paediatric issues around ACL/PCL reconstructions are interference with the growth plates if the bones are still growing.
An adult orthopod will be fine - better to get a PCL specialist by far.
In any event the younger you are the less likely they are to want to do difficult surgery around the growth plates. An isolated PCL tear should at least initially be managed with comprehensive rehab and muscle development
KJ
ACL/PCL/MCL/PLC rupture April 01
diagnostic arthroscopy June 01
PCL reconstuction Sept 01;  MUA  Oct 01
ACL reconstruction Nov 01; arthroscopy Jan 03
HTO,posterolateral recon + ACL/PCL revision recons Sept 03;
MUA Jan 04
arthroscopic debridement of scartissue May 04
metalwork removal April 05

Offline jb-knee-geek

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Re: Complete PCL Tear
« Reply #9 on: June 13, 2005, 11:07:11 PM »
FYI - I was referring to coustics 9 year old goal scorin' son.....
torn RK ACL March 2001, surgery Aug. 14 2006, after 4 knee sprains since Oct. '05.  Allograft, ~40% medial meniscus removed, some wear in the trochlear groove. Everything else looks good.

Post-op diary: http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=29749.

Offline coustics

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Re: Complete PCL Tear
« Reply #10 on: June 14, 2005, 09:45:42 AM »
youngsters face different rehab issues than adults.

you'll need to find an OS who specializes in knee injuries in children. not an easy task...

to my knowledge ligaments don't grow back, check this link: http://www.orthoassociates.com/knee_lig.htm

Dear JBluestein, thank you for the link to Orthoassociates, however I could not find any information specific to young children. I have emailed this fact to them and will post their reply, which could take 5 - 7 days.


Offline Alla

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Re: Complete PCL Tear
« Reply #11 on: June 14, 2005, 12:49:12 PM »
Hi there
I dont know about for young children, but I do have a work collegue in his 50's (Im guessing his age... dont want to be rude and ask him) who was showing me the photos from his arthroscope and clean out he had about 4 weeks ago.  Apparently the OS was really suprised that his ACL at some stage in his life had been severed and reattached itself to a different section of his knee.... he actually has the photo to prove it.  They are waiting to see if his knee isues are clear now that they cleared out the other issues or whether it is in need of further work knowng about this reattachment of the ACL.  So while it is uncommon that the ACL will reattach in the knee.... it seems that it can happen.
Alla
Torn ACL December 04
ACL Reco May 05
Cleared to return to sport May 06

Offline KJ

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Re: JBlue - apology!
« Reply #12 on: June 14, 2005, 12:55:41 PM »
sorry - I didn't read that one!
KJ
ACL/PCL/MCL/PLC rupture April 01
diagnostic arthroscopy June 01
PCL reconstuction Sept 01;  MUA  Oct 01
ACL reconstruction Nov 01; arthroscopy Jan 03
HTO,posterolateral recon + ACL/PCL revision recons Sept 03;
MUA Jan 04
arthroscopic debridement of scartissue May 04
metalwork removal April 05

Offline tiggs

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Re: Complete PCL Tear
« Reply #13 on: June 14, 2005, 10:51:35 PM »
Hi Cisco,

I am 2 weeks out of surgery for a complete repair of my PCL  along with a few other ligaments. What I would say is get a 2nd or even 3rd opinion. I first did mine 16 years ago and to be honest they got the diagnosis wrong saying that I had ruptured my ACL and to leave it as I wasnt a sporting person, so what quality of life still counts. To cut a long story short the knee gradually deteriated untill eventually went back they agreed I needed surgery as was completely gone, this didnt work so had another one done , still didnt work so I sought more opinions and then found out reason why not working I had also done the PCL, MCL, MENISCUS. No wonder, the knee wasn,t improving .

So always get another opinion, also OS have their own special areas that they work in, some only do ACL, other specialise in multi recon like mine, you have to ask. PCL is not as widely done as ACL, it is more complicated to do, but not always necessary whereas ACL more widely done.

Look into it in more detail, dont settle untill your happy and good luck

Tiggs.
Age 37,
bouncy castle injury at ripe old age of 24 !! 1992 ?
ACL recon x 1 failed screw came out ! 03
Arthroscopy  04
ACL recon patella version x1 ok still not great .04
mcl, pcl, pol, recon in 1 weeks time !!  may 05
Had op may 05 Mcl, pcl, acl, pol all doing well not so sure about LCL !

Offline sweeetdeliite

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Re: Complete PCL Tear
« Reply #14 on: March 10, 2009, 06:24:53 AM »
Hello
Hi guys,
My younger brother recently diagnosed with a complete tear of the PCL in his left knee - is devastated. He is a promising basketball player. His OS has not recommended surgery - and has decided to see how he repsonds with therapy. He has even said that my brother can play to pain if need be. Problem is, I don't think the doctor realises the level that my brother needs to play at. He went to his PT today for the first time, and was told that a completely torn PCL will never heal istelf. The fact is true as you all know, and he is so disappointed.

I feel terrible for him, and helpless. He is a good kid, at 18 years old he doesn't know what else to do but be brave about it. I guess that's why i'm so upset for him.

He has had one MRI and one OS look at his knee. Do we settle for that? I live in Syd Australia, I don't know who the specialists are, but did any of you settle with one OS's opinion?

His PT today ran him through the excercises, and he was atounded at why there wasn't more pain - being a complete tear and all.

Is it possible that the tear isn't complete? Is one MRI possibly not accurate enough?

Maybe I'm reaching here.

Has anyone out there had a PCL reconstruction only? Do you recommend it? Is getting to 100% possible after the operation?

Please help.

Cisco.



Hello,
  I am new to this. I just read ur meassage and couldn't believe it is exactly what I am going through and just don't know what to do.

   The first Dr. I seen told me I really didn't need my PCL, I was shocked and went home and just cried now what do I do. Got myself together and called the DR. that did my shoulder surgey and he reffered me to someone. Well I seen him today and he wants me to have 6 weeks rehab before deciding about surgery. My MRI said i have a complete tear of my pcl and a tear in ther medial meniscus . I can't bent my knee at all also in pain with swelling and redness...

any ideas?                                  Thanks Lisa