New York State Medical Treatment Guidelines for
Posterior Cruciate Ligament in workers compensation patients
The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Posterior Cruciate Ligament.
These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.
The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.
Description / Definition of Posterior Cruciate Ligament
Rupture of PCL; may have concurrent ACL rupture.
Mechanism of Injury for Posterior Cruciate Ligament
Most often caused by a posterior directed force to the flexed knee.
Specific Physical Findings of Posterior Cruciate Ligament
Acute effusion, instability, the reverse Lachman’s test, the reverse pivot shift, and the posterior drawer test are among the physical examination’s findings.
Diagnostic Testing Procedures of Posterior Cruciate Ligament
- MRI Radiographs
MRI Radiographs are recommended when clinically necessary and/or suspected of having an avulsed bone in a few instances.
Non-Operative Treatment is recommended clinically appropriate in a subset of patients.
Rest/restricted activity, cane or crutch off-loading, ice, elevation, bracing, casting, orthotics, rehabilitation and active and/or passive therapy, NSAIDs, and therapeutic injections are among treatment options.
Operative Treatment Autograft or allograft reconstruction
Operative Treatment Autograft or allograft reconstruction is recommended clinically appropriate in a subset of patients.
Indications: Concerns about instability Before beginning surgical intervention, take the patient’s usual level of daily activity into careful consideration. Most frequently carried out when a multiligament injury coexists with a PCL rupture.
Post-Operative Therapy bracing
Post-Operative Therapy bracing is recommended in select patients as clinically indicated.
What our office can do if you have Posterior Cruciate Ligament injury
We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.
We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.
We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.