Segond
Segond fracture is a type of avulsion fracture from the lateral tibial condyle in the knee, immediately below the surface of the joint. It is typically associated with anterior cruciate ligament (ACL) injuries.
History[edit | edit source]
The Segond fracture was first described by French surgeon Paul Ferdinand Segond in 1879. He noted the presence of a small avulsion fracture on the lateral aspect of the knee, which he believed was the result of an abnormal force. This fracture is now recognized as being associated with ACL injuries.
Causes[edit | edit source]
Segond fractures are typically caused by a forceful rotation or twisting of the knee. This can occur during sports activities or during a traumatic event such as a car accident. The fracture is caused by the pull of the iliotibial band or the anterior oblique band, a ligamentous attachment on the lateral tibia.
Diagnosis[edit | edit source]
Diagnosis of a Segond fracture is usually made through X-ray imaging, although it can also be detected through magnetic resonance imaging (MRI). The presence of a Segond fracture is often indicative of an ACL tear; as such, if a Segond fracture is identified, further testing is usually done to assess the condition of the ACL.
Treatment[edit | edit source]
Treatment for a Segond fracture typically involves addressing the associated ACL injury. This can involve surgical reconstruction of the ACL, followed by a period of physical therapy to restore strength and mobility to the knee. The fracture itself often heals with rest and immobilization.
See also[edit | edit source]
References[edit | edit source]
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Contributors: Prab R. Tumpati, MD
