Segond fracture

Case contributed by Mr Andrew Murphy

Presentation

Pain after rugby tackle, unable to weight bear on knee.

Patient Data

Age: 20 years
Gender: Male
X-ray

There is an avulsion fracture of the lateral tibial rim, also a comminuted intra-articular fracture of the tibial plateau that involves the tibial spine.

Case Discussion

Segond fractures have a high association with ACL injuries, fractures like these should be considered for further imaging to assess the integrity of the ACL. 

This particular case demonstrates a fracture of the tibial spine, highly concerning for a significant ACL injury. 

Unfortunately this patient went on to have further imaging at a different hospital hence, the follow-up MRI is not avaliable. 

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Case information

rID: 48342
Case created: 1st Oct 2016
Last edited: 3rd Oct 2016
Tag: rapids
Inclusion in quiz mode: Included

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