Access Keys:
Skip to content (Access Key - 0)

Medial Capsular Sign

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

Peer Review

OrthopaedicsOne Peer Review Workflow is an innovative platform that allows the process of peer review to occur right within an OrthopaedicsOne article in an open, transparent and flexible manner. Learn more

Instructions for Authors

Read our Instructions for Authors to learn about contributing or editing articles on OrthopaedicsOne.

Content Partner

Learn about becoming an OrthopaedicsOne Content Partner.

Academic Resources

Resources on Medial Capsular Sign from Pubget.

Error rendering macro 'rss' : The RSS macro is retrieving an HTML page.
Orthopaedic Web Links

Internet resources validated by OrthopaedicWebLinks.com

Related Content

Resources on Medial Capsular Sign and related topics in OrthopaedicsOne spaces.

Page: Radiographic Anatomy of Pediatric Hip (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Pediatric Lower Leg (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Adult Shoulder (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Adult Elbow (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Adult Forearm (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Adult Hand (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Adult Knee (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Adult Foot (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Adult Cervical Spine (OrthopaedicsOne Articles)
Page: Radiographic Anatomy of Adult Lumbar Spine (OrthopaedicsOne Articles)
Showing first 10 of 89 results