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Knee Surgery, Sports Traumatology, Arthroscopy

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01-05-2018 | Knee

The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture

Authors: Marcio Albers, Humza Shaikh, Elmar Herbst, Kentaro Onishi, Kanto Nagai, Volker Musahl, Freddie H. Fu

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2018

Abstract

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 revealed no movement and continued osseous integration of the Segond fragment.

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Title: The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture
Authors: Marcio Albers
Humza Shaikh
Elmar Herbst
Kentaro Onishi
Kanto Nagai
Volker Musahl
Freddie H. Fu
Publication date: 01-05-2018
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2018
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-017-4549-z

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The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture

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