Skip to main content
Top
Published in: Journal of Orthopaedics and Traumatology 3/2008

Open Access 01-09-2008 | Pediatrics

Segond fracture with anterior cruciate ligament tear in an adolescent

Authors: F. Falciglia, G. Mastantuoni, V. Guzzanti

Published in: Journal of Orthopaedics and Traumatology | Issue 3/2008

Login to get access

Abstract

The authors report a case of acute knee injury in a 14-year-old teenager. The X-ray showed a so-called Segond’s fracture: a small avulsed bone fragment, elliptical in shape, lying immediately below the external tibial plateau, a few millimeters from the lateral tibial cortex. The fracture site was in the portion of the tibial condyle which is linked to the middle third of the lateral capsule by meniscal tibial fibers. Clinical examination under anesthesia and subsequent arthroscopy revealed a total intrasubstance ACL (anterior cruciate ligament) tear close to the proximal insertion. The authors confirm Segond’s report of a possible association of this avulsion fracture with ACL injuries, even in adolescence.
Literature
1.
go back to reference Segond P (1979) Recherches cliniques et expèrimentales sur les èpanchements sanguins du genou par entorse. Progrès Méd 7:297–299, 319–321, 340–341,379–381, 400–401, 419–421 Segond P (1979) Recherches cliniques et expèrimentales sur les èpanchements sanguins du genou par entorse. Progrès Méd 7:297–299, 319–321, 340–341,379–381, 400–401, 419–421
2.
go back to reference Milch H (1936) Cortical avulsion fracture of the lateral tibial condyle. J Bone Joint Surg 18:159–164 Milch H (1936) Cortical avulsion fracture of the lateral tibial condyle. J Bone Joint Surg 18:159–164
3.
go back to reference Dietz GW, Wilcox DM, Montgomery JB (1986) Segond tibial condyle fracture: lateral capsular ligament avulsion. Radiology 159:467–469PubMedCrossRef Dietz GW, Wilcox DM, Montgomery JB (1986) Segond tibial condyle fracture: lateral capsular ligament avulsion. Radiology 159:467–469PubMedCrossRef
4.
go back to reference Johnson LL (1979) Lateral capsular ligament complex: anatomical and surgical considerations. Am J Sport Med 7:156–160CrossRef Johnson LL (1979) Lateral capsular ligament complex: anatomical and surgical considerations. Am J Sport Med 7:156–160CrossRef
5.
go back to reference Li D, Flak B (1991) Segond knee injury in a skier. Clin J Sport Med 1:41–42CrossRef Li D, Flak B (1991) Segond knee injury in a skier. Clin J Sport Med 1:41–42CrossRef
6.
go back to reference Norwood LA, Andrewss JR, Meisterling RC, Glancy GL (1979) Acute anterolateral rotatory instability of the knee. J Bone Joint Surg Am 61:704–709PubMed Norwood LA, Andrewss JR, Meisterling RC, Glancy GL (1979) Acute anterolateral rotatory instability of the knee. J Bone Joint Surg Am 61:704–709PubMed
7.
go back to reference Woods GW, Stanley RF, Tullos HS (1979) Lateral capsular sign: X-ray clue to a significant knee instability. Am J Sport Med 1:27–33CrossRef Woods GW, Stanley RF, Tullos HS (1979) Lateral capsular sign: X-ray clue to a significant knee instability. Am J Sport Med 1:27–33CrossRef
8.
go back to reference Sferopoulos NK, Rafailidis D, Traios S, Christoforides J (2006) Avulsion fractures of the lateral tibial condyle in children. Injury 37(1):57–60PubMedCrossRef Sferopoulos NK, Rafailidis D, Traios S, Christoforides J (2006) Avulsion fractures of the lateral tibial condyle in children. Injury 37(1):57–60PubMedCrossRef
9.
go back to reference Irvine GB, Dias JJ, Finlay DB (1987) Segond fracture of the lateral tibial condyle: brief report. J Bone Joint Surg Br 69:613–614PubMed Irvine GB, Dias JJ, Finlay DB (1987) Segond fracture of the lateral tibial condyle: brief report. J Bone Joint Surg Br 69:613–614PubMed
Metadata
Title
Segond fracture with anterior cruciate ligament tear in an adolescent
Authors
F. Falciglia
G. Mastantuoni
V. Guzzanti
Publication date
01-09-2008
Publisher
Springer International Publishing
Published in
Journal of Orthopaedics and Traumatology / Issue 3/2008
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI
https://doi.org/10.1007/s10195-008-0026-2

Other articles of this Issue 3/2008

Journal of Orthopaedics and Traumatology 3/2008 Go to the issue