Anterior cruciate ligament rupture with Segond fracture

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Sports injury.

Patient Data

Age: 25 years
Gender: Female

Large joint effusion. Complex body/posterior horn medial meniscal tear with horizontal and vertical components. Vertical tear free edge body lateral meniscus. 

Full thickness anterior cruciate ligament rupture. Posterior cruciate ligament is intact. 

Avulsion fracture of the lateral tibial plateau involving capsular fibers and anterior fibers of the lateral collateral ligament. Interstitial tear of the conjoint tendon. 

Pivot shift mechanism of injury osteochondral injuries of the lateral femoral condyle and lateral tibial plateau. 

Case Discussion

Segond fractures are avulsion injuries of the lateral tibial plateau and are highly associated with anterior cruciate ligament injuries. This patient underwent an ACL reconstruction. 

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