We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Two-fragment Segond fracture validates historical descriptions of independent soft tissue attachments.
- Authors
Byrne, Kevin J.; Rothrauff, Benjamin B.; Nagai, Kanto; Onishi, Kentaro; Fu, Freddie H.
- Abstract
This is a case report of a 26-year-old male who sustained a Segond fracture in the context of an acute anterior cruciate ligament (ACL) rupture incurred while downhill skiing. Further work-up revealed that the Segond fracture consisted of two distinct fragments with separate soft tissue attachments, including the capsule-osseous layer of the iliotibial band and the short arm of the biceps femoris. Imaging showed interval healing of the Segond fracture between initial presentation and the performance of arthroscopic ACL reconstruction approximately 4 months later. As intraoperative evaluation demonstrated that anatomic ACL reconstruction restored translational and rotatory knee stability, surgical repair of the Segond fracture, or the anterolateral complex of the knee more broadly, was not required. Maintenance of translational and rotatory knee stability was confirmed at serial post-operative appointments up through final follow-up. Level of evidence Level V.
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2022, Vol 30, Issue 1, p71
- ISSN
0942-2056
- Publication type
Article
- DOI
10.1007/s00167-021-06515-w