Posterior cruciate ligament

A.Prof Frank Gaillard et al.

The posterior cruciate ligament (PCL) is one of the two cruciate ligaments that stabilise the knee joint

The PCL attaches to the posterior intercondylar area and passes anterosuperiorly to insert into the lateral surface of the medial femoral condyle. 

When the knee is in extension, it makes an almost 90º turn as it passes anterosuperiorly. The anterior cruciate ligament passes lateral to it and curves around it.

The PCL is intracapsular but extrasynovial and is approximately 13 mm in diameter. It contains two fibre bundles named according to their relative attachments 1:

  1. anterolateral
  2. posteromedial

During flexion, the anterolateral band becomes tight, whereas the posterolateral bundle tightens during extension 1 and the PCL as a whole acts to resist anterior translation of the femur on the tibia 2.

The two bundles cannot be separately identified on MRI and the PCL appears as intensely hypointense. The apex of the PCL is susceptible to magic angle effect (an MR artefact) and high signal can be seen in this area but it is of no pathological significance 2

Anatomy: Lower limb
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Article information

rID: 7220
Section: Anatomy
Synonyms or Alternate Spellings:
  • PCL
  • Posterior cruciate ligament (PCL)

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Cases and figures

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    Case 1: normal cruciate ligaments (MRI)
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