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Why can I move my femur back and forth across my t

Printed From: CyberPT - Your Online Physical Therapy Resource
Category: Patient Forum
Forum Name: Lower Extremity & Knee Injuries/Conditions
Forum Description: Patients can post questions and experiences about lower extremity & knee injuries/conditions.
URL: http://www.cyberpt.com/ptforum/forum_posts.asp?TID=1044
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Topic: Why can I move my femur back and forth across my t
Posted By: Ask a PT
Subject: Why can I move my femur back and forth across my t
Date Posted: Aug 23 2012 at 9:12am
Our user asked: "Hey my name is Deontae Murphy just call me Murphy I'm a football player. Ok so about Last October I caught an Interception on the sideline. I came down on my left heel while my other leg was airborne.So in this situation all the force came down onto my heel. I immediately felt pain in my knee as my teammates congratulated me on the INT. I told the trainer about it and she put an Ice pack on it. The next day I could barely bend my left knee. It was on a painful scale of 1-10 a 7 when bending it. The trainer had me go to physical Therapy for around 6 weeks going to the therapist 2-3 times a week. After the therapy the pain was still there it almost felt like nothing had ever happened because I could run full speed BUT I wasn't as fast as I used to be it took my 40 time down about 0.8 seconds. So I went to go get my physical 8 months later which was the June that just passed and I told the Physical Therapists about it and they did the drawer test on me. Come to find out I can move my Femur forward and backwards slightly across the tibia WHICH I'M NOT SUPPOSED TO BE ABLE TO DO!. The therapist told me he thinks that I had strained my Posterior Cruciate Ligament (PCL) I know that it keeps your femur from extending to far past the tibia and I was just curious to know that if I could possibly have lost my PCL or if it will never heal OR even if that's the case? THANK YOU!"
 
Ask a PT Response: "Yes, I think this is most likely PCL.  However it's kinda wierd that the femur can move both forward and backwards, PCL injury should only allow posterior translation of tibia or anterior translation of femur, so there is a possiblity that ACL was also involved.  If its just PCL, then in most cases individuals do well without surgery and it will heal, however, if its PCL plus other components of the posterior lateral corner, then surgery may be required.  If ACL is involved, then, check with your local surgeon. A MRI will allow for a better idea of what is going on. Good luck."



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