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Segond fracture with tibial spine avulsion

Case contributed by Adam Tunis
Diagnosis certain

Presentation

Right knee injury.

Patient Data

Age: 45 years
Gender: Female

There is a large dense joint effusion.

There is an avulsion of the anterior tibial spine, consistent with a likely anterior cruciate ligament avulsion injury.

A 2nd small linear, vertically oriented fragment of bone at the lateral aspect of lateral tibial plateau consistent with an associated Segond fracture.

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