MRI-Confirmed Partial PCL Injury Managed Conservatively in a Football Player: A Case- Based Insight


Authors : Kirtick Poovendran; Lavanya Chandran

Volume/Issue : Volume 10 - 2025, Issue 6 - June


Google Scholar : https://tinyurl.com/nh45vatx

DOI : https://doi.org/10.38124/ijisrt/25jun038

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Injuries in Posterior cruciate ligament (PCL) is less comparatively with other ligaments injury in knee, can still significantly disrupt knee joint function and athletic performance. This report presents the clinical course of a 21-year-old football player who suffered a partial tear of the PCL after sustaining direct trauma to the anterior aspect of the tibia. MRI imaging confirmed partial fiber disruption, localized edema, lateral meniscal changes, and mild collateral ligament involvement. The patient was managed conservatively with physiotherapy, NSAIDs, rest, and bracing. The case emphasizes the importance of detailed assessment and strategic treatment planning for PCL injuries, especially in athletes. It also discusses current classification, conservative vs. operative indications, and rehabilitation. The MRI sequences used for diagnosis included T1-weighted imaging, Proton Density Fat-Saturated (PD FS), T2-weighted imaging, Short Tau Inversion Recovery (STIR), and 3D Dual-Echo Steady-State (3D DESS).

Keywords : Posterior Cruciate Ligament, Knee Trauma, Sports Medicine, Conservative Therapy, Ligament Reconstruction.

References :

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  2. Wang CJ. Injuries to the posterior cruciate ligament and posterolateral instabilities of the knee. Chang Gung Med J. 2002;25(5):288-297.
  3. 3. Raj, M. A., Mabrouk, A., & Varacallo, M. A. (2023). Posterior Cruciate Ligament Knee Injuries. In StatPearls. StatPearls Publishing.
  4. Jacobi, M., Reischl, N., Wahl, P., Gautier, E., & Jakob, R. P. (2010). Acute isolated injury of the posterior cruciate ligament treated by a dynamic anterior drawer brace: a preliminary report. The Journal of bone and joint surgery. British volume, 92(10), 1381–1384. https://doi.org/10.1302/0301-620X.92B10.24807
  5. Chandrasekaran, S., Ma, D., Scarvell, J. M., Woods, K. R., & Smith, P. N. (2012). A review of the anatomical, biomechanical and kinematic findings of posterior cruciate ligament injury with respect to non-operative management. The Knee, 19(6), 738–745. https://doi.org/10.1016/j.knee.2012.09.005
  6. Bernhardson, A. S., DePhillipo, N. N., Daney, B. T., Kennedy, M. I., Aman, Z. S.,& LaPrade, R. F. (2019). Posterior Tibial Slope and Risk of Posterior Cruciate Ligament Injury. The American journal of sports medicine, 47(2), 312–317. https://doi.org/10.1177/0363546518819176

Injuries in Posterior cruciate ligament (PCL) is less comparatively with other ligaments injury in knee, can still significantly disrupt knee joint function and athletic performance. This report presents the clinical course of a 21-year-old football player who suffered a partial tear of the PCL after sustaining direct trauma to the anterior aspect of the tibia. MRI imaging confirmed partial fiber disruption, localized edema, lateral meniscal changes, and mild collateral ligament involvement. The patient was managed conservatively with physiotherapy, NSAIDs, rest, and bracing. The case emphasizes the importance of detailed assessment and strategic treatment planning for PCL injuries, especially in athletes. It also discusses current classification, conservative vs. operative indications, and rehabilitation. The MRI sequences used for diagnosis included T1-weighted imaging, Proton Density Fat-Saturated (PD FS), T2-weighted imaging, Short Tau Inversion Recovery (STIR), and 3D Dual-Echo Steady-State (3D DESS).

Keywords : Posterior Cruciate Ligament, Knee Trauma, Sports Medicine, Conservative Therapy, Ligament Reconstruction.

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