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Segond fracture of the proximal tibia


  • The Segond fracture is an avulsion fracture involving the proximal tibia immediately distal to the lateral plateau. 
  • Described by Paul Segond in 1879, in cadaveric experiments
  • It is believed to be a cortical avulsion of the tibia at the site of insertion of the middle third of the lateral capsular ligament (LCL).
  • It has an association with tears of the anterior cruciate ligament (75%–100% of patients), meniscal tears (66%–75% of patients), damage to the structures of the posterolateral corner of the knee.

Further reading: 

Pathogenesis of the Segond Fracture: Anatomic and MR Imaging Evidence of an Iliotibial Tract or Anterior Oblique Band Avulsion Juliana C. Campos, Christine B. Chung, Nittaya Lektrakul, Robert Pedowitz, Debra Trudell, Joseph Yu, and Donald Resnick. Radiology 2001 219:2, 381-386 
Segond fracture of the proximal tibia Reviewed by Sumer Sethi on Monday, June 09, 2014 Rating: 5

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