Segond fracture

Case contributed by Dr Andrew Taylor

Presentation

Pain post twisting injury at football.

Patient Data

Gender: Male
X-ray

Large suprapatellar joint effusion. A curvilinear osseous fragment is projected parallel to the lateral margin of the tibial epiphysis consistent with a Segond fracture.

Further evaluation with MRI is recommended to evaluate for ACL and meniscal injury.

Case Discussion

A Segond fracture is an avulsion fracture from the lateral aspect of the tibial plateau. It is also referred to as the lateral capsular sign. It has a strong association (approximately 75% of cases) with disruption of the anterior cruciate ligament. MRI is essential to define internal injury and plan appropriate treatment. 

PlayAdd to Share

Case information

rID: 67455
Published: 7th Apr 2019
Last edited: 7th Apr 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.