A Segond Fracture is an avulsion of a small chip of bone off the lateral side of the femur, commonly seen in association with an anterior cruciate ligament rupture. 

SegondFracture
This very subtle bony avulsion indicates the likelihood of inadequacy of the anterolateral ligament, which has avulsed from its attachment to the femur.

 

Significance of a Segond fracture

The small avulsion chip used to be considered as an indicator of a torn anterior cruciate ligament (ACL), but nowadays it is generally accepted to be an indicator of a torn anterolateral ligament that occurs in association with ACL tears.

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Knee Fractures

A primer of the common fractures around the knee.

An 'interpretation' of a 2006 medical article outlining the important anatomy of the important posterolateral corner of the knee, and the surgical procedures that are relevant there.

An 'interpretation' of a paper published in 2000 that explains the anatomical basis of certain multi-ligament injuries of the knee.

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FORUM DISCUSSIONS

HELP! Accidental fall-complex knee injury complicated by DVT / nerve damage

Swimming following acl reconstruction


CLINICAL PUBLICATIONS

The Segond Fracture Is an Avulsion of the Anterolateral Complex. Shaikh H, Herbst E, Rahnemai-Azar AA, Bottene Villa Albers M, Naendrup JH, Musahl V, Irrgang JJ and Fu FH1. Am J Sports Med. 2017 Aug;45(10):2247-2252. doi: 10.1177/0363546517704845. Epub 2017 May 12.

Segond Fractures. Not Necessarily Pathognemonic of Anterior Cruciate Ligament Injury in the Pediatric Population Arneja SS, Furey MJ, Alvarez CM and Reilly CW. Sports Health. 2010 Sep; 2(5): 437–439.


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