PMC4899847_01
22-year-old male with reverse Segond fracture. X-ray on admission right shows tibial and fibular fracture.
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22-year-old male with reverse Segond fracture. X-ray on admission shows left knee reverse Segond Fracture (yellow arrow in highlighted area for better visibility), indicating significant internal derangement.
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Further inspection demonstrated an avulsion-type fracture of the medial tibial rim (Fig. 2) consistent with the reverse Segond fracture pattern.
22-year-old male with reverse Segond fracture. CT scan 3D reconstruction shows reverse Segond fracture (yellow arrow).
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Instead, a CT scan further defined the fracture anatomy (Fig. 3).
22-year-old male with reverse Segond fracture. Sagital T2-weighted MRI shows ACL tear (yellow arrow).
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After followup with the orthopedic surgeon to remove surgical staples, MRI of the left knee confirmed the presence of the ACL and MCL tear that had been suspected on clinical exam; in addition, it demonstrated intact PCL and LCL with no obvious meniscal involvement (Figure 4, Figure 5, Figure 6).
22-year-old male with reverse Segond fracture. Sagital T1-weighted MRI shows intact PCL (yellow arrow).
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After followup with the orthopedic surgeon to remove surgical staples, MRI of the left knee confirmed the presence of the ACL and MCL tear that had been suspected on clinical exam; in addition, it demonstrated intact PCL and LCL with no obvious meniscal involvement (Figure 4, Figure 5, Figure 6).
22-year-old male with reverse Segond fracture. Coronal T2-weighted MRI shows reverse Segond fracture and swelling along torn MCL (yellow arrow).
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After followup with the orthopedic surgeon to remove surgical staples, MRI of the left knee confirmed the presence of the ACL and MCL tear that had been suspected on clinical exam; in addition, it demonstrated intact PCL and LCL with no obvious meniscal involvement (Figure 4, Figure 5, Figure 6).
22-year-old male with reverse Segond fracture. Left knee X-ray three months after injury shows reverse Segond fracture fragment unhealed (yellow arrow).
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Three-month followup X-rays showed that the avulsed fragment never fully healed to the tibia (Fig. 7).