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Orthopaedic Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
X-ray all patients and look for an associated fracture, such as: Tibial condyle fracture.Avulsion fracture of the tibial spine in cruciate ligament tears.Flake fracture of the lateral or medial femoral condyle in collateral ligament tears.Vertical avulsion fracture off the lateral tibial condyle from the lateral capsular ligament attachment (Segond fracture) this is associated with an ACL rupture, and/or medial meniscal tear from a varus twisting injury.Avulsion of the tibial tubercle (Osgood–Schlatter's disease) due to traction apophysitis, more common in young male teenagers.
Test Paper 2
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
This is a classic plain film appearance of a Segond fracture. Segond fracture is an avulsion fracture at the proximal, non-articular aspect of the lateral tibia. The presence of this fracture is strongly associated with injury to other knee structures like the medial meniscus. However, it is the anterior cruciate ligament that is most commonly injured (75%–100%).
Injuries of the Knee and Leg
Published in Louis Solomon, David Warwick, Selvadurai Nayagam, Apley and Solomon's Concise System of Orthopaedics and Trauma, 2014
Louis Solomon, David Warwick, Selvadurai Nayagam
Stress x-rays of the knee may provide visual evidence of instability. Plain x-rays may show that the ligament has avulsed a small piece of bone – the MCL usually from the femur, the LCL from the fibula, the ACL from the tibial spine and the PCL from the back of the upper tibia. Another sign is an avulsion fracture off the edge of the lateral tibial condyle (the so-called Segond fracture), indicating an ACL injury.
How weakness of the tensor fascia lata and gluteus maximus may contribute to ACL injury: A new theory
Published in Physiotherapy Theory and Practice, 2020
Michael T. Cibulka, Jack Bennett
A Segond fracture is considered an indirect sign of a torn or ruptured ACL of the knee (Woods, Stanley, and Tullos, 1979). Woods, Stanley, and Tullos (1979) first noted the relationship between a Segond fracture and rupture of the ACL of the knee. Only 9–12% of all ACL injuries demonstrate a Segond fracture (Hess et al, 1994). However, its importance is that nearly everyone who has a Segond fracture also has an ACL injury, making the presence of a Segond fracture strongly associated with an ACL injury (Goldman, Pavlov, and Rubenstein, 1988; Hess et al, 1994).