PCL Step Off Test - Clinical Examination of the Knee

The step off test for posterior cruciate ligament, or PCL, injuries may be the most important special test to perform during your knee clinical examination.

Why?

When you have a ligamentous injury to the knee, you often have to evaluate the ACL and PCL.  If the PCL is damaged, the tibia will sag posteriorly, making your special tests for ACL injuries seem positive.  It will translate anterior way more than usual!

So be sure to rule out the PCL as well as you can prior to examining the ACL.  The PCL Step Off Test is the first test I perform.

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