Posterior cruciate ligament (PCL) injury

Injury to the ligament at the back of the knee, often from a direct blow.

Overview

A PCL injury involves the ligament at the back of the knee, often from a blow to the front of a bent knee (such as a dashboard injury) or a fall. Many isolated PCL injuries are managed with strengthening-based rehabilitation.

Symptoms

  • Pain and swelling at the back of the knee
  • A sense of instability, especially on slopes or stairs
  • Difficulty with deep bending
  • Often less dramatic than ACL injury

Causes

  • A blow to the front of a bent knee
  • A fall onto a bent knee
  • Sporting and road-traffic injuries

Treatment

  • Quadriceps-focused strengthening
  • Bracing in some cases
  • Graded return to activity
  • Surgical opinion for combined or unstable injuries