PMC6742883_01
Left knee anteroposterior and lateral X-ray on admission show lateral tibial plateau and reverse Segond fracture.
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F1
On the initial examination and radiographic evaluation, he had left tibial plateau and reverse Segond fracture (Fig. 1).
Left knee computed tomography scans (coronal and axial views) show tibial plateau fracture and reverse Segond fracture.
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F2
Computed tomography (CT) scan showed a large fragment avulsed from peripheral rim of medial tibial plateau in addition to lateral tibial plateau fractures (Fig. 2).
Magnetic resonance imaging shows avulsion of medial collateral ligament but intact posterior cruciate ligament.
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F3
Magnetic resonance imaging (MRI) showed MCL avulsion, medial meniscus entrapment and ACL tear but intact PCL (Fig. 3).
Open reduction and internal fixation of both fractures.
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F4
The patient was approached with two separate incisions, and both fractures were fixed (Fig. 4)The medial meniscus was pulled out from fracture site and repaired.
PMC6742883_02
Knee X-ray and computed tomography scan show lateral tibial plateau fracture with reverse Segond fracture.
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F5
In that case, X-ray and CT scan showed reverse Segond fracture with lateral tibial plateau fracture (Fig. 5).
Magnetic resonance imaging shows intact posterior cruciate ligament.
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F6
MRI revealed MCL and ACL injuries but intact PCL (Fig. 6).