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PCL Injury — NPTE Cheat Sheet

  • What it is:
  • Injury to the posterior cruciate ligament from excessive posterior translation of the tibia — often from dashboard impact or falling on a flexed knee.
  • Classic signs:
  • Posterior sag sign
  • Posterior knee pain
  • Difficulty descending stairs
  • Instability (less dramatic than ACL)
  • Dashboard injury mechanism
  • Rule-in test:
  • Posterior Drawer Test (NPTE’s favorite)
  • Rule-out clues:
  • Immediate swelling → ACL
  • Locking/catching → Meniscus
  • Medial tenderness → MCL
  • NPTE trap:
  • “Dashboard injury” = PCL. Never ignore it.
  • Best treatment:
  • ROM, quad strength, avoid early hamstring loading.
  • Mock question included: Yes.

Lock down PCL injuries in under 3 minutes. Hit follow for more NPTE wins.

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