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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 3/2018

01-09-2018 | PCL Update (K Jones and M Alaia, section editors)

Posterior Cruciate Ligament Avulsion Fractures

Authors: Anna Katsman, Eric J. Strauss, Kirk A. Campbell, Michael J. Alaia

Published in: Current Reviews in Musculoskeletal Medicine | Issue 3/2018

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Abstract

Purpose of Review

The purposes of this review are to (1) discuss the epidemiology and workup of the rare posterior cruciate ligament (PCL) avulsion fracture, (2) review the indications for nonoperative and operative management of patients with PCL avulsion fractures, (3) examine surgical outcomes in this patient population, and (4) discuss the authors’ preferred management algorithm and surgical approach.

Recent Findings

In accordance with the rarity of these injuries, the literature is sparse regarding surgical outcomes. Many of these injuries are in the setting of a multi-ligamentous injury. Most authors suggest that displaced PCL avulsion fractures should undergo operative fixation and current data suggests excellent outcomes when treating these patients with either open or arthroscopic fixation, with a low complication rate.

Summary

PCL avulsion fractures, although rare, should undergo fixation when displacement is present. Current studies report successful outcomes and a low complication rate.
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Metadata
Title
Posterior Cruciate Ligament Avulsion Fractures
Authors
Anna Katsman
Eric J. Strauss
Kirk A. Campbell
Michael J. Alaia
Publication date
01-09-2018
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 3/2018
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-018-9491-2

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