Update of treatment of isolated lesions of the posterior cruciate ligament

Atualização em tratamento da lesão isolada do ligamento cruzado posterior

• 1. What is the recommendation for the conservative treatment of PCL injury?

  • a. It is recommended only in isolated grade I ligament injuries.

  • b. It is recommended only in isolated grade II ligament injuries.

  • c. It is recommended in isolated grade I and II ligament injuries.

  • d. It is recommended only in isolated grade III ligament injuries.

• 2. When is surgical reconstruction of the PCL recommended?

  • a. It is recommended only in isolated grade III ligament injuries.

  • b. It is recommended in ligament injuries caused by bone avulsions.

  • c. It is recommended only in isolated grade I ligament injuries.

  • d. It is recommended only in isolated grade II ligament injuries.

• 3. When surgery is recommended, is single tunnel PCL reconstruction similar to double tunnel reconstruction?

  • a. The functional and subjective results are similar.

  • b. The functional results are better with double bundle.

  • c. The objective results are similar.

  • d. The subjective results are better with double bundle.

• 4. Is use of homologous grafts recommended for reconstruction of the PCL?

  • a. No, only autologous grafts.

  • b. Yes, but the results are inferior to those of autologous grafts.

  • c. Yes, whenever autologous grafts are contraindicated.

  • d. Yes, the results are similar to those of autologous grafts.

• 5. How should postoperative treatment of PCL reconstruction be conducted?

  • a. Cryotherapy is contraindicated.

  • b. For range of motion, 0-70º angles must be observed in the first 12 weeks.

  • c. Key points include extension immobilizer.

  • d. Early introduction of exercises directed at the ham strings.

Answers to clinical scenario: stress fractures in the foot and ankle of athletes [published in RAMB 2015; 61(1)]

• 1. Which complementary exams should be requested for diagnosis?

  • Start diagnostic investigation by radiography (Alternative C).

• 2. Which factor does NOT favor stress fractures?

  • Smoking (Alternative D).

• 3. How should stress fractures be treated?

  • Conservative measures include immobilization (Alternative B).

• 4. What are the indications for surgical treatment?

  • When the fracture occurs in the traction zone (Alternative D).

• 5. When can the patient return to sport?

  • In fractures of the navicular bone, between 4 and 6 months (Alternative A).

Publication Dates

• Publication in this collection
  mar-apr 2015