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Segond Fracture

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1. Reverse Segond Fracture Associated with Anteromedial Tibial Rim and Tibial Attachment of Anterior Cruciate Ligament Avulsion Fractures (PubMed)

Reverse Segond Fracture Associated with Anteromedial Tibial Rim and Tibial Attachment of Anterior Cruciate Ligament Avulsion Fractures Reverse Segond fracture is an uncommon avulsion fracture of the tibial attachment of the deep portion of the medial collateral ligament of the knee. We report a reverse Segond fracture associated with anterior cruciate ligament tibial avulsion fracture and anteromedial tibial rim fracture. Unlike previous reports, the combination of reverse Segond fracture (...) , anteromedial tibial rim fracture, and anterior cruciate ligament avulsion fracture was not associated with posterior cruciate ligament injury, posterolateral corner injury, or tibial plateau fracture. This new combination of injuries provides better understanding of the mechanisms of ligamentous injuries of the knee and highlights the importance of meticulous assessment of these injuries for accurate diagnosis and subsequent management.

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2017 Case reports in orthopedics

2. The Influence of Segond Fracture on Outcomes After Anterior Cruciate Ligament Reconstruction. (PubMed)

The Influence of Segond Fracture on Outcomes After Anterior Cruciate Ligament Reconstruction. To determine the prevalence of Segond fractures using computed tomography (CT) and to investigate the effects of Segond fractures on the outcomes of primary anterior cruciate ligament (ACL) reconstruction for isolated ACL injuries.Between January 2010 and July 2015, we retrospectively evaluated 383 patients who underwent primary ACL reconstruction, who underwent CT scans immediately after surgery (...) , and who were available at 2 years of follow-up. The absence or presence of a Segond fracture was confirmed using CT. The following parameters were evaluated in all patients at the 2-year follow-up visit: clinical scores (International Knee Documentation Committee subjective score, Lysholm score, and Tegner activity score) and knee joint stability (anterior drawer test, Lachman test, pivot-shift test, and side-to-side difference in anterior tibial translation on Telos stress radiographs).Among 383

2018 Arthroscopy

3. Reverse Segond Fracture

Reverse Segond Fracture Reverse Segond Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Reverse Segond Fracture Reverse Segond (...) Fracture Aka: Reverse Segond Fracture From Related Chapters II. Mechanism High energy valgus or external rotation (MVA, landing a ski jump, ) Associated with avulsion of medial collateral ligament III. Imaging Avulsion at the medial tibial plateau best seen on AP View IV. Associated Conditions Medial Collateral Ligament Tear V. Resources Radiopaedia VI. References Dolbec (2019) Crit Dec Emerg Med 33(1): 17-25 Images: Related links to external sites (from Bing) These images are a random sampling from

2019 FP Notebook

4. Segond Fracture

Segond Fracture Segond Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Segond Fracture Segond Fracture Aka: Segond Fracture (...) links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Segond Fracture." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Knee Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty

2019 FP Notebook

5. The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture. (PubMed)

The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture. The purpose of this report was to describe the injury mechanism, surgical findings, and outcomes in a 21-year-old professional female football player who presented with a complete anterior cruciate ligament (ACL) rupture and Segond fracture. Interview and video analysis were performed to elicit the injury mechanism. Clinical examination and imaging revealed a complete ACL tear, Segond fracture (...) , lateral meniscus tear, MCL sprain, and posterolateral corner sprain. Examination under anaesthesia revealed Grade 2 pivot shift and varus/valgus instability. Surgical examination revealed attachment of the posterior fibres of the iliotibial band and the lateral capsule to the Segond fragment. The fracture was reduced with suture fixation, and an anatomic ACL reconstruction was performed. Follow-up demonstrated rotatory and anterior tibial translation stability, and imaging at 7 months post-operatively

2017 Knee Surgery, Sports Traumatology, Arthroscopy

6. Surgical Treatment of Segond Fractures in Acute Anterior Cruciate Ligament Reconstruction (PubMed)

Surgical Treatment of Segond Fractures in Acute Anterior Cruciate Ligament Reconstruction The Segond fracture is an avulsion-type fracture located on the anterolateral aspect of the tibia associated with a ligament recently termed the anterolateral ligament. This injury has been described as pathognomonic for an anterior cruciate ligament (ACL) tear and is associated with a higher grade pivot shift.To present and report 2-year clinical outcomes of a surgical technique for acute ACL (...) reconstruction with fixation of a concomitant Segond fracture.Case series; Level of evidence, 4.A retrospective chart review was performed of patients who underwent acute reconstruction for a complete ACL tear with concomitant Segond fracture fixation between January 2010 and December 2014; surgery was performed by a single surgeon. Patients underwent direct Segond fracture repair by either suture alone, suture anchor, or cannulated screw fixation based on the size of the lesion, followed by a 2-incision

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2017 Orthopaedic journal of sports medicine

7. Reverse Segond fracture and associated knee injuries: A case report and review of 13 published cases (PubMed)

Reverse Segond fracture and associated knee injuries: A case report and review of 13 published cases Reverse Segond fracture is originally described as an indirect radiographic clue for a specific injury complex of the knee joint that includes posterior cruciate ligament (PCL) rupture and medial meniscal tear. Herein, we describe a case with reverse Segond fracture associated with PCL avulsion fracture instead of PCL rupture. According to current literature review, reverse Segond fracture

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2016 Acta orthopaedica et traumatologica turcica

8. Is Treatment of Segond Fracture Necessary With Combined Anterior Cruciate Ligament Reconstruction? (PubMed)

Is Treatment of Segond Fracture Necessary With Combined Anterior Cruciate Ligament Reconstruction? There is a paucity of clinical information to guide the treatment of a combined anterior cruciate ligament (ACL) tear and Segond fracture.To compare clinical outcomes, graft failure rates, and activity levels between patients undergoing ACL reconstruction (ACLR) with and without an untreated Segond fracture at a minimum 2-year follow-up.Cohort study; Level of evidence, 3.This study included (...) a group of patients with a combined ACL tear/untreated Segond fracture that was matched based on age, sex, body mass index, and graft type to a control group of patients with an ACL tear and no Segond fracture. All patients were treated with ACLR alone between the years of 2000 and 2015. The diagnosis of a Segond fracture, or bony avulsion of the anterolateral complex, was made by radiographic analysis. Data regarding the initial injury, surgical intervention, and physical examination findings were

2017 American Journal of Sports Medicine

9. Segond Fractures Are Not a Risk Factor for Anterior Cruciate Ligament Reconstruction Failure. (PubMed)

Segond Fractures Are Not a Risk Factor for Anterior Cruciate Ligament Reconstruction Failure. Segond fractures may be identified when an anterior cruciate ligament (ACL) tear is diagnosed and likely represent an avulsion of the anterolateral ligament. It is currently unclear whether these fractures can be ignored at the time of ACL reconstruction or if they should be addressed surgically.To compare the incidence of Segond fractures in patients undergoing primary ACL reconstruction compared (...) with those undergoing revision ACL reconstruction in an attempt to determine if the presence of a Segond fracture predisposes to ACL reconstruction failure.Cross-sectional study; Level of evidence, 3.A retrospective review of all patients undergoing primary or revision ACL reconstruction between 2007 and 2014 was performed. Demographic data (age, sex, body mass index), injury variables (acuity, mechanism of injury), and radiographic features (concomitant ligamentous injuries, growth plate status) were

2017 American Journal of Sports Medicine

10. The Segond Fracture Is an Avulsion of the Anterolateral Complex. (PubMed)

The Segond Fracture Is an Avulsion of the Anterolateral Complex. The Segond fracture was classically described as an avulsion fracture of the anterolateral capsule of the knee. Recently, some authors have attributed its pathogenesis to the "anterolateral ligament" (ALL). Biomechanical studies that have attempted to reproduce this fracture in vitro have reported conflicting findings.To determine the anatomic characteristics of the Segond fracture on plain radiographs and magnetic resonance (...) imaging (MRI), to compare this location with the location of the ALL described in prior radiographic and anatomic publications, and to determine the fracture's attachments to the soft tissue anterolateral structures of the knee.Case series; Level of evidence, 4.A total of 36 anterior cruciate ligament-injured patients with Segond fractures (33 male, 3 female; mean age, 23.2 ± 8.4 years) were enrolled. MRI scans were reviewed to determine the anatomic characteristics of the Segond fracture, including

2017 American Journal of Sports Medicine

11. High prevalence of all complex Segond avulsion using ultrasound imaging. (PubMed)

High prevalence of all complex Segond avulsion using ultrasound imaging. The aim of this study was to determine the prevalence of a Segond avulsion fractures in acute ACL tears with ultrasound and to investigate whether other injuries can predict the avulsion.One hundred thirty-eight ultrasound analyses of acute knee trauma were collected and scored for diagnosed injuries. The reports of patients with an ACL tear (N = 87) were evaluated to determine possible increased prevalence of Segond (...) avulsion fracture with ultrasound. The associations between the diagnosed injuries and presence of a Segond avulsion were scored. The sports carried out at the time of injury were evaluated as possible prognostic factor.In 25/87 (29%) of the patients with an ACL tear, a Segond avulsion was observed in ultrasound. Lateral femoral condyle (LFC) impaction showed the strongest individual association with a Segond avulsion and was the best predicting variable. LFC impaction, sustained during low-risk

2017 Knee Surgery, Sports Traumatology, Arthroscopy

12. Segond fracture after anterior cruciate ligament reconstruction (PubMed)

Segond fracture after anterior cruciate ligament reconstruction The authors report a case of a 19-year-old man with a Segond fracture with knee effusion after an acute injury, in addition to findings of prior anterior cruciate ligament (ACL) reconstruction. This case illustrates the predictive nature of Segond fracture for further acute meniscoligamentous injury, even after previous ACL reconstruction.

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2015 Radiology Case Reports

13. Reverse Segond fracture without PCL injury (PubMed)

Reverse Segond fracture without PCL injury This case involves a unique reverse Segond fracture pattern with ACL and MCL tears that does not have the usually involved PCL tear or obvious meniscal tear. It further shows the importance of recognition of the medial tibial avulsion fracture as an indicator of more severe internal derangement and instability of the knee. Early recognition prompts a more thorough evaluation and management of instability, with hope of better patient outcomes.

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2015 Radiology Case Reports

14. The Segond Fracture: A Bony Injury of the Anterolateral Ligament of the Knee. (PubMed)

The Segond Fracture: A Bony Injury of the Anterolateral Ligament of the Knee. The purpose of this study was to investigate the relation of the Segond fracture with the anterolateral ligament (ALL) of the knee.To identify the soft-tissue structure causative for the Segond fracture, a study was set up to compare anatomic details of the tibial insertion of the recently characterized ALL in cadaveric knees (n = 30) with radiologic data obtained from patients (n = 29) with a possible Segond fracture (...) based on an imaging protocol search. The spatial relation of the ALL footprint with well-identifiable anatomic landmarks at the lateral aspect of the knee was determined, and this was repeated for the Segond fracture bed.In all of the included cadaveric knees, a well-defined ALL was found as a distinct ligamentous structure connecting the lateral femoral epicondyle with the anterolateral proximal tibia. The mean distance of the center of the tibial ALL footprint to the center of the Gerdy tubercle

2014 Arthroscopy

15. Segond fracture in an adult is not pathognomonic for ACL injury. (PubMed)

Segond fracture in an adult is not pathognomonic for ACL injury. The Segond fracture is an avulsion fracture of the lateral tibial plateau and is considered pathognomonic for anterior cruciate ligament (ACL) injury. A case of a Segond fracture occurring with a clinically, radiologically and arthroscopically intact ACL is presented. This was associated with a serious injury to the posterolateral corner requiring surgical reconstruction. Relevant literature is discussed, and the suggestion (...) is made that, whilst an ACL rupture may be the most commonly noted soft tissue component associated with a Segond fracture, the clinician should have a high level of suspicion for other serious soft tissue injuries. Level of evidence V.

2014 Knee Surgery, Sports Traumatology, Arthroscopy

16. Combined osteochondral fracture of the posterolateral tibial plateau and Segond fracture with anterior cruciate ligament injury in a skeletally immature patient. (PubMed)

Combined osteochondral fracture of the posterolateral tibial plateau and Segond fracture with anterior cruciate ligament injury in a skeletally immature patient. A case of a 14-year-old boy with a rare injury--an osteochondral fracture of the posterolateral tibial plateau associated with the anterior cruciate ligament (ACL) rapture, and Segond fracture characterized by an avulsion fracture of the lateral tibial plateau--is reported. This case was noteworthy because it involved a rare (...) combination of ACL injuries. This injury was thought to be caused by the impaction between the posterior aspect of the lateral tibial plateau and the lateral femoral condyle during internal rotational displacement of the knee joint at the time of injury, because the osteochondral fracture of the posterolateral tibial plateau matched the site where the bone bruise was observed.

2012 Knee Surgery, Sports Traumatology, Arthroscopy

17. The Segond fracture: a clue to intra-articular knee pathology. (PubMed)

The Segond fracture: a clue to intra-articular knee pathology. This short report presents the case of a 32-year-old man with a knee injury sustained while playing football. A plain radiograph revealed a Segond fracture and a subsequent MRI confirmed a complete anterior cruciate ligament rupture. While the Segond fracture, and its associated intra-articular pathology, is well recognised among orthopaedic surgeons, it is less well recognised among staff in the emergency department. The report (...) aims to emphasise the importance of plain radiographs in patients with a history of knee injury and to highlight that this seemingly innocuous avulsion fracture may reveal more severe underlying pathology.

2011 Emergency Medicine Journal

18. Segond’s fracture: a biomechanical cadaveric study using navigation (PubMed)

Segond’s fracture: a biomechanical cadaveric study using navigation Segond's fracture is a well-recognised radiological sign of an anterior cruciate ligament (ACL) tear. While previous studies evaluated the role of the anterolateral ligament (ALL) and complex injuries on rotational stability of the knee, there are no studies on the biomechanical effect of Segond's fracture in an ACL deficient knee. The aim of this study was to evaluate the effect of a Segond's fracture on knee rotation (...) stability as evaluated by a navigation system in an ACL deficient knee.Three different conditions were tested on seven knee specimens: intact knee, ACL deficient knee and ACL deficient knee with Segond's fracture. Static and dynamic measurements of anterior tibial translation (ATT) and axial tibial rotation (ATR) were recorded by the navigation system (2.2 OrthoPilot ACL navigation system B. Braun Aesculap, Tuttlingen, Germany).Static measurements at 30° showed that the mean ATT at 30° of knee flexion

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2017 Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology

19. Fracture, Knee (Follow-up)

and morphological findings and impact on outcome. Skeletal Radiol . 2015 Aug 20. . Walker CW, Moore TE. Imaging of skeletal and soft tissue injuries in and around the knee. Radiol Clin North Am . 1997 May. 35(3):631-53. . Gray SD, Kaplan PA, Dussault RG. Acute knee trauma: how many plain film views are necessary for the initial examination?. Skeletal Radiol . 1997 May. 26(5):298-302. . Davis DS, Post WR. Segond fracture: lateral capsular ligament avulsion. J Orthop Sports Phys Ther . 1997 Feb. 25(2):103-6 (...) . . Hall FM, Hochman MG. Medial Segond-type fracture: cortical avulsion off the medial tibial plateau associated with tears of the posterior cruciate ligament and medial meniscus. Skeletal Radiol . 1997 Sep. 26(9):553-5. . Hardy JR, Chimutengwende-Gordon M, Bakar I. Rupture of the quadriceps tendon: an association with a patellar spur. J Bone Joint Surg Br . 2005 Oct. 87(10):1361-3. . Nichol G, Stiell IG, Wells GA. An economic analysis of the Ottawa knee rule. Ann Emerg Med . 1999 Oct. 34(4 Pt 1):438

2014 eMedicine Emergency Medicine

20. Fracture, Knee (Treatment)

and morphological findings and impact on outcome. Skeletal Radiol . 2015 Aug 20. . Walker CW, Moore TE. Imaging of skeletal and soft tissue injuries in and around the knee. Radiol Clin North Am . 1997 May. 35(3):631-53. . Gray SD, Kaplan PA, Dussault RG. Acute knee trauma: how many plain film views are necessary for the initial examination?. Skeletal Radiol . 1997 May. 26(5):298-302. . Davis DS, Post WR. Segond fracture: lateral capsular ligament avulsion. J Orthop Sports Phys Ther . 1997 Feb. 25(2):103-6 (...) . . Hall FM, Hochman MG. Medial Segond-type fracture: cortical avulsion off the medial tibial plateau associated with tears of the posterior cruciate ligament and medial meniscus. Skeletal Radiol . 1997 Sep. 26(9):553-5. . Hardy JR, Chimutengwende-Gordon M, Bakar I. Rupture of the quadriceps tendon: an association with a patellar spur. J Bone Joint Surg Br . 2005 Oct. 87(10):1361-3. . Nichol G, Stiell IG, Wells GA. An economic analysis of the Ottawa knee rule. Ann Emerg Med . 1999 Oct. 34(4 Pt 1):438

2014 eMedicine Emergency Medicine

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