Location

Knee

Diagnosis

Reverse Segond injury

Discussion

The existence of a “reverse Segond” fracture has been postulated. The application of opposite forces to those needed for the Segond fracture, to the flexed knee, of excessive valgus stress with the tibia in external rotation may consistently cause an injury complex mirroring the classic Segond fracture. Specifically, a combination of medial tibial plateau avulsion fracture and posterior cruciate ligament (PCL) and medial meniscal tear.

It also alerts the examiner that an avulsion fracture of the medial collateral ligament (MCL) insertion on plain radiograph, just like that on the lateral side, may be consistently associated with a PCL and medial meniscal tear. This should trigger appropriate examination, investigation, and treatment.

Reference

Reverse Segond fracture: A case report. Injury Extra

Volume 40, Issue 6, June 2009, Pages 109-111

Radwane Faroug, and Adib Hasan:

Figures

Click thumbnail for larger image

reverse segond injury

Attachments:


immage 1.jpg (image/pjpeg)


immage 2.jpg (image/pjpeg)


immage 3.jpg (image/pjpeg)