Abstract
The Segond fracture is a tibial avulsion injury of the insertion of the middle third of the lateral capsular ligament that is typically associated with anterior cruciate ligament and meniscal tears. The classically assigned mechanism of injury is a combination of internal rotation and varus stress. We report two cases of Segond fractures that presented with a variant pattern including osseous avulsion injuries of the medial collateral ligament at the femoral origin, anterior cruciate ligament tear, and pivot shift-type osseous contusion pattern, suggesting an alternative mechanism of injury that includes dominant valgus stress and external rotation components. Awareness of this pattern may aid radiologists, surgeons, and sport medicine physicians in the accurate diagnosis of this injury complex and initiation of appropriate treatment in a timely fashion.
| Language | English (US) |
|---|---|
| Pages | 32-34 |
| Number of pages | 3 |
| Journal | Clinical Imaging |
| Volume | 53 |
| DOIs | |
| State | Published - Jan 1 2019 |
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Keywords
- ACL rupture
- MCL avulsion
- Segond
- Stieda fracture
- Valgus
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Avulsion fracture of the medial collateral ligament association with Segond fracture. / Albtoush, Omar M.; Horger, Marius; Springer, Fabian; Fritz, Jan.
In: Clinical Imaging, Vol. 53, 01.01.2019, p. 32-34.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Avulsion fracture of the medial collateral ligament association with Segond fracture
AU - Albtoush, Omar M.
AU - Horger, Marius
AU - Springer, Fabian
AU - Fritz, Jan
PY - 2019/1/1
Y1 - 2019/1/1
N2 - The Segond fracture is a tibial avulsion injury of the insertion of the middle third of the lateral capsular ligament that is typically associated with anterior cruciate ligament and meniscal tears. The classically assigned mechanism of injury is a combination of internal rotation and varus stress. We report two cases of Segond fractures that presented with a variant pattern including osseous avulsion injuries of the medial collateral ligament at the femoral origin, anterior cruciate ligament tear, and pivot shift-type osseous contusion pattern, suggesting an alternative mechanism of injury that includes dominant valgus stress and external rotation components. Awareness of this pattern may aid radiologists, surgeons, and sport medicine physicians in the accurate diagnosis of this injury complex and initiation of appropriate treatment in a timely fashion.
AB - The Segond fracture is a tibial avulsion injury of the insertion of the middle third of the lateral capsular ligament that is typically associated with anterior cruciate ligament and meniscal tears. The classically assigned mechanism of injury is a combination of internal rotation and varus stress. We report two cases of Segond fractures that presented with a variant pattern including osseous avulsion injuries of the medial collateral ligament at the femoral origin, anterior cruciate ligament tear, and pivot shift-type osseous contusion pattern, suggesting an alternative mechanism of injury that includes dominant valgus stress and external rotation components. Awareness of this pattern may aid radiologists, surgeons, and sport medicine physicians in the accurate diagnosis of this injury complex and initiation of appropriate treatment in a timely fashion.
KW - ACL rupture
KW - MCL avulsion
KW - Segond
KW - Stieda fracture
KW - Valgus
UR - http://www.scopus.com/inward/record.url?scp=85054460242&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85054460242&partnerID=8YFLogxK
U2 - 10.1016/j.clinimag.2018.09.006
DO - 10.1016/j.clinimag.2018.09.006
M3 - Article
VL - 53
SP - 32
EP - 34
JO - Clinical Imaging
T2 - Clinical Imaging
JF - Clinical Imaging
SN - 0899-7071
ER -