Pediatrics

Journal of Orthopaedics and Traumatology

, Volume 9, Issue 3, pp 167-169

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Segond fracture with anterior cruciate ligament tear in an adolescent

  • F. FalcigliaAffiliated withOrthopaedics and Traumatology Division, Bambino Gesù Children’s Hospital, Institute of Scientific Research Email author 
  • , G. MastantuoniAffiliated withOrthopaedics and Traumatology Division, Bambino Gesù Children’s Hospital, Institute of Scientific Research
  • , V. GuzzantiAffiliated withOrthopaedics and Traumatology Division, Bambino Gesù Children’s Hospital, Institute of Scientific ResearchUniversity of Cassino

Abstract

The authors report a case of acute knee injury in a 14-year-old teenager. The X-ray showed a so-called Segond’s fracture: a small avulsed bone fragment, elliptical in shape, lying immediately below the external tibial plateau, a few millimeters from the lateral tibial cortex. The fracture site was in the portion of the tibial condyle which is linked to the middle third of the lateral capsule by meniscal tibial fibers. Clinical examination under anesthesia and subsequent arthroscopy revealed a total intrasubstance ACL (anterior cruciate ligament) tear close to the proximal insertion. The authors confirm Segond’s report of a possible association of this avulsion fracture with ACL injuries, even in adolescence.

Keywords

Segond fracture ACL tear Knee Avulsion fracture