Pain after rugby tackle, unable to weight bear on knee.
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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.
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.
- 1. The Multiple Ligament Injured Knee: A Practical Guide to Management. Springer. ISBN:0387492879. Read it at Google Books - Find it at Amazon