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The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture

Abstract

The purpose of this report was to describe the injury mechanism, surgical findings, and outcomes in a 21-year-old professional female football player who presented with a complete anterior cruciate ligament (ACL) rupture and Segond fracture. Interview and video analysis were performed to elicit the injury mechanism. Clinical examination and imaging revealed a complete ACL tear, Segond fracture, lateral meniscus tear, MCL sprain, and posterolateral corner sprain. Examination under anaesthesia revealed Grade 2 pivot shift and varus/valgus instability. Surgical examination revealed attachment of the posterior fibres of the iliotibial band and the lateral capsule to the Segond fragment. The fracture was reduced with suture fixation, and an anatomic ACL reconstruction was performed. Follow-up demonstrated rotatory and anterior tibial translation stability, and imaging at 7 months post-operatively revealed no movement and continued osseous integration of the Segond fragment.

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Author information

Correspondence to Freddie H. Fu.

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The authors declare that they have no conflict of interest.

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No funding was received for this study.

Ethical approval

The institutional review board at the University of Pittsburgh approved the protocol of this study (ID number: 12020619).

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All participants gave their written informed consent.

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Albers, M., Shaikh, H., Herbst, E. et al. The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture. Knee Surg Sports Traumatol Arthrosc 26, 1305–1310 (2018). https://doi.org/10.1007/s00167-017-4549-z

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Keywords

  • Segond
  • Iliotibial band
  • ACL
  • Capsule
  • Knee
  • Pivot shift
  • ALL