Conservative treatment of isolated posterior cruciate ligament injury in professional baseball players

A report of two cases

J. Iwamoto, T. Takeda, Y. Suda, Toshiro Otani, Hideo Matsumoto

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Conservative treatment is currently recommended for most isolated posterior cruciate ligament (PCL) injuries in athletes. However, it is not known whether conservative treatment is applicable even in high performance athletes with isolated PCL injury. The results in two extremely high performance athletes, professional baseball players with isolated acute PCL injury treated conservatively are reported. A catcher and an out fielder, who were regular players, hurt their knees in baseball games. Magnetic resonance images of the knee detected complete PCL rupture. Following a carefully guided physical therapy program, a 3-week period of immobilization of the knee in full extension was achieved with a knee brace, while performing hard quadriceps muscle strengthening exercise, and then running exercise was started. Six to eight weeks after injury, they were able to return fully to their original sporting activity despite tibial posterior translation on posterior drawer test, and to sustain this activity over 2 years. Switching of weight-bearing to non-weight-bearing in a deep knee flexion is considered to contribute to subjective instability in athletes with PCL-deficiency. Probably because our cases, even though extremely high performance athletes were infrequently subjected to such a situation while playing baseball, they were able to return to their pre-injury level of athletic performance without severe subjective instability through conservative treatment.

Original languageEnglish
Pages (from-to)41-44
Number of pages4
JournalKnee
Volume11
Issue number1
DOIs
Publication statusPublished - 2004 Feb

Fingerprint

Baseball
Posterior Cruciate Ligament
Athletes
Knee
Wounds and Injuries
Exercise
Athletic Performance
Braces
Quadriceps Muscle
Weight-Bearing
Running
Immobilization
Rupture
Magnetic Resonance Spectroscopy
Conservative Treatment

Keywords

  • Baseball player
  • Conservative treatment
  • Posterior cruciate ligament injury
  • Top athlete

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Conservative treatment of isolated posterior cruciate ligament injury in professional baseball players : A report of two cases. / Iwamoto, J.; Takeda, T.; Suda, Y.; Otani, Toshiro; Matsumoto, Hideo.

In: Knee, Vol. 11, No. 1, 02.2004, p. 41-44.

Research output: Contribution to journalArticle

Iwamoto, J. ; Takeda, T. ; Suda, Y. ; Otani, Toshiro ; Matsumoto, Hideo. / Conservative treatment of isolated posterior cruciate ligament injury in professional baseball players : A report of two cases. In: Knee. 2004 ; Vol. 11, No. 1. pp. 41-44.
@article{6ff977aa71564ac0a2d20391e4b313e2,
title = "Conservative treatment of isolated posterior cruciate ligament injury in professional baseball players: A report of two cases",
abstract = "Conservative treatment is currently recommended for most isolated posterior cruciate ligament (PCL) injuries in athletes. However, it is not known whether conservative treatment is applicable even in high performance athletes with isolated PCL injury. The results in two extremely high performance athletes, professional baseball players with isolated acute PCL injury treated conservatively are reported. A catcher and an out fielder, who were regular players, hurt their knees in baseball games. Magnetic resonance images of the knee detected complete PCL rupture. Following a carefully guided physical therapy program, a 3-week period of immobilization of the knee in full extension was achieved with a knee brace, while performing hard quadriceps muscle strengthening exercise, and then running exercise was started. Six to eight weeks after injury, they were able to return fully to their original sporting activity despite tibial posterior translation on posterior drawer test, and to sustain this activity over 2 years. Switching of weight-bearing to non-weight-bearing in a deep knee flexion is considered to contribute to subjective instability in athletes with PCL-deficiency. Probably because our cases, even though extremely high performance athletes were infrequently subjected to such a situation while playing baseball, they were able to return to their pre-injury level of athletic performance without severe subjective instability through conservative treatment.",
keywords = "Baseball player, Conservative treatment, Posterior cruciate ligament injury, Top athlete",
author = "J. Iwamoto and T. Takeda and Y. Suda and Toshiro Otani and Hideo Matsumoto",
year = "2004",
month = "2",
doi = "10.1016/S0968-0160(03)00114-5",
language = "English",
volume = "11",
pages = "41--44",
journal = "Knee",
issn = "0968-0160",
publisher = "Elsevier",
number = "1",

}

TY - JOUR

T1 - Conservative treatment of isolated posterior cruciate ligament injury in professional baseball players

T2 - A report of two cases

AU - Iwamoto, J.

AU - Takeda, T.

AU - Suda, Y.

AU - Otani, Toshiro

AU - Matsumoto, Hideo

PY - 2004/2

Y1 - 2004/2

N2 - Conservative treatment is currently recommended for most isolated posterior cruciate ligament (PCL) injuries in athletes. However, it is not known whether conservative treatment is applicable even in high performance athletes with isolated PCL injury. The results in two extremely high performance athletes, professional baseball players with isolated acute PCL injury treated conservatively are reported. A catcher and an out fielder, who were regular players, hurt their knees in baseball games. Magnetic resonance images of the knee detected complete PCL rupture. Following a carefully guided physical therapy program, a 3-week period of immobilization of the knee in full extension was achieved with a knee brace, while performing hard quadriceps muscle strengthening exercise, and then running exercise was started. Six to eight weeks after injury, they were able to return fully to their original sporting activity despite tibial posterior translation on posterior drawer test, and to sustain this activity over 2 years. Switching of weight-bearing to non-weight-bearing in a deep knee flexion is considered to contribute to subjective instability in athletes with PCL-deficiency. Probably because our cases, even though extremely high performance athletes were infrequently subjected to such a situation while playing baseball, they were able to return to their pre-injury level of athletic performance without severe subjective instability through conservative treatment.

AB - Conservative treatment is currently recommended for most isolated posterior cruciate ligament (PCL) injuries in athletes. However, it is not known whether conservative treatment is applicable even in high performance athletes with isolated PCL injury. The results in two extremely high performance athletes, professional baseball players with isolated acute PCL injury treated conservatively are reported. A catcher and an out fielder, who were regular players, hurt their knees in baseball games. Magnetic resonance images of the knee detected complete PCL rupture. Following a carefully guided physical therapy program, a 3-week period of immobilization of the knee in full extension was achieved with a knee brace, while performing hard quadriceps muscle strengthening exercise, and then running exercise was started. Six to eight weeks after injury, they were able to return fully to their original sporting activity despite tibial posterior translation on posterior drawer test, and to sustain this activity over 2 years. Switching of weight-bearing to non-weight-bearing in a deep knee flexion is considered to contribute to subjective instability in athletes with PCL-deficiency. Probably because our cases, even though extremely high performance athletes were infrequently subjected to such a situation while playing baseball, they were able to return to their pre-injury level of athletic performance without severe subjective instability through conservative treatment.

KW - Baseball player

KW - Conservative treatment

KW - Posterior cruciate ligament injury

KW - Top athlete

UR - http://www.scopus.com/inward/record.url?scp=1242270561&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1242270561&partnerID=8YFLogxK

U2 - 10.1016/S0968-0160(03)00114-5

DO - 10.1016/S0968-0160(03)00114-5

M3 - Article

VL - 11

SP - 41

EP - 44

JO - Knee

JF - Knee

SN - 0968-0160

IS - 1

ER -