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

  • Marcio Albers
  • Humza Shaikh
  • Elmar Herbst
  • Kentaro Onishi
  • Kanto Nagai
  • Volker Musahl
  • Freddie H. Fu


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.

Level of evidence V.


Segond Iliotibial band ACL Capsule Knee Pivot shift ALL 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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).

Informed consent

All participants gave their written informed consent.

Supplementary material

Supplementary material 1 (M4 V 2328 kb)


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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2017

Authors and Affiliations

  • Marcio Albers
    • 1
  • Humza Shaikh
    • 1
  • Elmar Herbst
    • 1
    • 3
  • Kentaro Onishi
    • 1
    • 2
  • Kanto Nagai
    • 1
    • 4
  • Volker Musahl
    • 1
  • Freddie H. Fu
    • 1
  1. 1.Department of Orthopaedic SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Department of Physical Medicine and RehabilitationUniversity of Pittsburgh Medical CenterPittsburghUSA
  3. 3.Department of Orthopaedic Sports Medicine, Klinikum rechts der IsarTechnical University MunichMunichGermany
  4. 4.Department of Orthopaedic SurgeryKobe University Graduate School of MedicineKobeJapan

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