Is the Segond’s fracture a reliable sign of anterior cruciate ligament (ACL) tear? A case report without associated ACL rupture
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Segond’s fracture is an avulsion fracture of the lateral rim of the tibial plateau. It is described as a “capsular sign” of associated anterior cruciate ligament (ACL) tears. The clinical examination of a traumatically painful knee is often difficult. For this reason the Segond’s fracture is considered a helpful sign for the diagnosis of ACL ruptures. We report an uncommon case of an isolated Segond’s fracture without ACL rupture (or other internal derangement) associated. With this report we have reviewed literature to know the real occurrence of the Segond’s fracture with ACL tears. The question to be answered is if this lesion really is a sign of association of ACL tears. Most of the cases published are isolated and only one paper has analyzed this occurrence precisely. The scientific literature concludes that the Segond’s fracture is a strong indirect sign of ACL’s tear associated in injured knee.
KeywordsSegond’s fracture Knee, ligaments and menisci Knee, injuries Anterior cruciate ligament
Conflict of interest statement
No funds were received in support of this study.
- 1.Milch H (1936) Cortical avulsion fracture of the lateral tibial condyle. J Bone Joint Surg 18:159–164Google Scholar
- 2.Segond P (1879) Rechercherches cliniques et experimentales sur les épanchements sanguins du genou par entorse. Prog Med 7:297–299, 319–321, 340–341Google Scholar
- 14.Bathala EA, Bancroft LW, Ortiguera CJ, Peterson JJ (2007) Radiologic case study. Segond fracture. Orthopedics 30(9):689, 797–798Google Scholar
- 15.Hess T, Rupp S, Hopf T, Gleitz M, Liebler J (1994) Lateral tibial avulsion fractures and disruptions to the anterior cruciate ligament. A clinical study of their incidence and correlation. Clin Orthop Relat Res 6(303):193–197Google Scholar