The "reverse Segond" fracture

Association with a tear of the posterior cruciate ligament and medial meniscus

Eva M Escobedo, William J. Mills, John C Hunter

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

OBJECTIVE. We describe three patients who presented with radiographic findings of a fragment on the medial side of the tibial plateau of the knee that represented an avulsion of the deep portion of the medial collateral ligament. These findings were all associated with disruption of the posterior cruciate ligament and a peripheral medial meniscal tear - the so-called reverse Segond fracture. CONCLUSION. Avulsion fracture at the tibial insertion of the deep component of the medial collateral ligament is a rare finding. When this type of injury is diagnosed, the radiologist should consider posterior cruciate ligament injury and peripheral medial meniscal tears as possible associated findings.

Original languageEnglish (US)
Pages (from-to)979-983
Number of pages5
JournalAmerican Journal of Roentgenology
Volume178
Issue number4
StatePublished - 2002
Externally publishedYes

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Posterior Cruciate Ligament
Tibial Meniscus
Collateral Ligaments
Tibial Fractures
Tears
Wounds and Injuries
Knee
Avulsion Fractures
Radiologists

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

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AB - OBJECTIVE. We describe three patients who presented with radiographic findings of a fragment on the medial side of the tibial plateau of the knee that represented an avulsion of the deep portion of the medial collateral ligament. These findings were all associated with disruption of the posterior cruciate ligament and a peripheral medial meniscal tear - the so-called reverse Segond fracture. CONCLUSION. Avulsion fracture at the tibial insertion of the deep component of the medial collateral ligament is a rare finding. When this type of injury is diagnosed, the radiologist should consider posterior cruciate ligament injury and peripheral medial meniscal tears as possible associated findings.

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