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High prevalence of all complex Segond avulsion using ultrasound imaging

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The aim of this study was to determine the prevalence of a Segond avulsion fractures in acute ACL tears with ultrasound and to investigate whether other injuries can predict the avulsion.

Materials and methods

One hundred thirty-eight ultrasound analyses of acute knee trauma were collected and scored for diagnosed injuries. The reports of patients with an ACL tear (N = 87) were evaluated to determine possible increased prevalence of Segond avulsion fracture with ultrasound. The associations between the diagnosed injuries and presence of a Segond avulsion were scored. The sports carried out at the time of injury were evaluated as possible prognostic factor.

Results

In 25/87 (29%) of the patients with an ACL tear, a Segond avulsion was observed in ultrasound. Lateral femoral condyle (LFC) impaction showed the strongest individual association with a Segond avulsion and was the best predicting variable. LFC impaction, sustained during low-risk pivoting sport, shows a stronger association with a Segond avulsion, as compared to LFC impaction sustained during high-risk pivoting sports.

Conclusion

Ultrasound shows a higher prevalence of Segond avulsions as literature shows with MRI or radiography. LFC impaction is the best variable in predicting this type of avulsion. Ultrasound examination should be considered, if this fracture was not diagnosed with MRI or radiographic analysis.

Level of evidence

IV.

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Acknowledgements

Special thanks go to Dr Philippe Colombet for preparing Figs. 1 and 5, Lara Konijnenberg and Paul Geurts for assisting with statistical analysis.

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Authors and Affiliations

  1. ICONE Orthopedics and Sports Traumatology, PO Box 41, 5480 AA, Schijndel, The Netherlands

    Burt Klos, Marlon Scholtes & Stephan Konijnenberg

Authors
  1. Burt Klos
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  2. Marlon Scholtes
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  3. Stephan Konijnenberg
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Corresponding author

Correspondence to Burt Klos.

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Conflict of interest

Author Klos, Author Konijnenberg and Author Scholtes declare that they have no conflict of interest.

Funding

No funding received.

Ethical approval

Approval for the study was obtained by the Medical Ethical Committee of Maastricht University Medical Center (METC 15-4-067).

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For this type of study formal consent is not required.

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Klos, B., Scholtes, M. & Konijnenberg, S. High prevalence of all complex Segond avulsion using ultrasound imaging. Knee Surg Sports Traumatol Arthrosc 25, 1331–1338 (2017). https://doi.org/10.1007/s00167-017-4532-8

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  • DOI: https://doi.org/10.1007/s00167-017-4532-8

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