Two-fragment Segond fracture validates historical descriptions of independent soft tissue attachments

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,...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2022, Vol.30 (1), p.71-77
Main Authors: Byrne, Kevin J., Rothrauff, Benjamin B., Nagai, Kanto, Onishi, Kentaro, Fu, Freddie H.
Format: Article
Language:English
Subjects:
Accessories
Adult
Anterior cruciate ligament
Anterior Cruciate Ligament Injuries - surgery
Anterior Cruciate Ligament Reconstruction
Bone healing
Humans
Knee
Knee Joint - surgery
Male
Medicine
Medicine & Public Health
Orthopedics
Soft tissues
Sports Medicine
Stability
Tibial Fractures - surgery
Translation
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Summary: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.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-021-06515-w