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. 2010 Sep;2(5):437-9.
doi: 10.1177/1941738110379215.

Segond fractures: not necessarily pathognemonic of anterior cruciate ligament injury in the pediatric population

Shalinder S Arneja  1 , Matthew J Furey, Christine M Alvarez, Christopher W Reilly
Affiliations

Segond fractures: not necessarily pathognemonic of anterior cruciate ligament injury in the pediatric population

Shalinder S Arneja et al. Sports Health. 2010 Sep.

Abstract

Initially described following cadaveric studies in the late 19th century by Dr. Paul Segond, the Segond fracture is now widely accepted as a pathognemonic radiographic marker of anterior cruciate ligament injury. This fracture in a skeletally immature 16-year-old was not seen with an anterior cruciate ligament injury, but with a Salter-Harris type IV fracture of the tibial plateau. A nonweightbearing knee immobilizer with the leg in full extension was used for 6 weeks. Recovery was uncomplicated, and range of motion and weightbearing began at 6 weeks.

Keywords: anterior cruciate ligament injury; knee hemarthrosis; segond fracture; tibial physeal injury; tibial spine avulsion.

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Conflict of interest statement

No potential conflicts of interest declared.

Figures

Figure 1.
Figure 1.
A, anteroposterior radiograph demonstrates the Segond fracture (white arrow); B, lateral radiograph demonstrates the lipohemarthrosis (black arrow).
Figure 2.
Figure 2.
A, sagittal T1 magnetic resonance image demonstrates Salter-Harris type IV fracture of the proximal tibia (white arrows); B, sagittal oblique T2 turbo spin echo magnetic resonance image demonstrates intact anterior cruciate ligament (black arrow).
Figure 3.
Figure 3.
Coronal T2 turbo spin echo magnetic resonance image demonstrates lateral femoral condyle impaction fracture (horizontal arrow) and Segond fracture (vertical arrow).
See this image and copyright information in PMC

References

    1. Davis DS, Post WR. Segond fracture: lateral capsular ligament avulsion. J Orthop Sports Phys Ther. 1997;25(2):103-106 - PubMed
    1. DeLee JC, Curtis R. Anterior cruciate ligament insufficiency in children. Clin Orthop Relat Res. 1983;172:112-118 - PubMed
    1. Felenda M, Dittel KK. Importance of the Segond avulsion fracture as a sign of complex ligamentous knee injury. Aktuelle Traumatol. 1992;22(3):120-122 - PubMed
    1. Gautier E, Ziran BH, Egger B, Slongo T, Jakob RP. Growth disturbances after injuries of the proximal tibial epiphysis. Arch Orthop Trauma Surg. 1998;118:37-41 - PubMed
    1. Goldman AB, Pavlov H, Rubenstein D. The Segond fracture of the proximal tibia: a small avulsion that reflects major ligamentous damage. AJR Am J Roentgenol. 1988;151(6):1163-1167 - PubMed