Review ArticlesInitial Evaluation of Posterior Cruciate Ligament Injuries: History, Physical Examination, Imaging Studies, Surgical and Nonsurgical IndicationsLopez-Vidriero, Emilio MD, PhD*; Simon, David A. MD*; Johnson, Donald H. MD, FRCSC† ‡Author Information *Department of Orthopaedics, The Ottawa Hospital †Sports Medicine Clinic, Carleton University ‡Department of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada Reprints: Donald H. Johnson, MD, FRCSC, Department of Orthopaedic Surgery, University of Ottawa, 1125 Colonel By Drive, Ottawa, Ontario K1S 5B6, Canada (e-mail: firstname.lastname@example.org). Fundacion Caja Madrid. No support to be disclosed. Sports Medicine and Arthroscopy Review: December 2010 - Volume 18 - Issue 4 - p 230-237 doi: 10.1097/JSA.0b013e3181fbaf38 Buy Metrics Abstract Compared with anterior cruciate ligament injuries, posterior cruciate ligament injuries are a rare event. The mechanisms are predictable and a thorough physical examination is mandatory to rule out or define combined injury patterns. Stress radiography and magnetic resonance imaging studies are very helpful adjuncts. Acute and chronic injuries require slightly different approaches. As our understanding of normal and pathologic knee joint kinematics develops, nonoperative rehabilitation goals and operative techniques continue to evolve. © 2010 Lippincott Williams & Wilkins, Inc.