Learning Objectives:

Describe the mechanism and progression of an isolated grade 2 PCL sprain and its potential to lead to secondary meniscal injury. Differentiate key clinical findings between PCL injury, ACL injury, and meniscal pathology using the case details. Analyze how continued participation without bracing contributed to increased knee instability and eventual complex meniscal tear. Evaluate conservative versus surgical management strategies for PCL injuries in competitive collegiate athletes. Develop an evidence-based post-operative rehabilitation focus for combined PCL reconstruction and complex meniscal repair.

Keywords: Knee; Surgery; progressive