Image Presentation
BibTex RIS Cite

Diz Lateralinin Avülsiyon Kırığı: Segond Kırığı

Year 2023, Volume: 5 Issue: 2, 119 - 120, 01.07.2023
https://doi.org/10.38175/phnx.1203503

Abstract

Segond kırığı klasik olarak tibial plato seviyesinin hemen altında, proksimaltibianınlateralinde oluşan avülsiyon kırığı olarak tanımlanmaktadır. Genellikle dizin rotasyonu sırasında oluşan travmalarda daha sık görülür ve kompleks diz yaralanmalarında Segond kırığı, anterior cruciate ligament (ACL) yırtığı için patognomik bir bulgudur. ACL yaralanması olan hastaların %75-100’üne Segond kırığının eşlik ettiği görülmüştür. ACL ile birlikte, lateral kapsül veya lateral menisküs yırtılması ile ilişkilidir ve kronik anterolateral diz instabilitesine neden olabilmesi açısından önemlidir.

References

  • Shaikh H, Herbst E, Rahnemai-Azar AA, Bottene Villa Albers M, Naendrup JH, Musahl V, et al. The Segond Fracture Is an Avulsion of the Anterolateral Complex. Am J Sports Med. 2017 Aug;45(10):2247-2252. doi: 10.1177/0363546517704845.
  • Ferretti A, Monaco E, Wolf MR, Guzzini M, Carli A, Mazza D. Surgical Treatment of Segond Fractures in Acute Anterior Cruciate Ligament Reconstruction. Orthop J Sports Med. 2017 Oct;5(10):2325967117729997.
  • Campos JC, Chung CB, Lektrakul N, Pedowitz R, Trudell D, Yu J, Resnick D. Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Radiology. 2001 May;219(2):381-6. doi: 10.1148/radiology.219.2.r01ma23381. PMID: 11323461.
  • Goldman AB, Pavlov H, Rubenstein D. The Segond fracture of the proximal tibia: a small avulsion that reflects major ligamentous damage. AJR Am J Roentgenol. 1988;151:1163e1167.
  • Porrino, J., Maloney, E., Richardson, M., Mulcahy, H., Ha, A., &Chew, F. S. (2015). The Anterolateral Ligament of the Knee: MRI Appearance, Association Withthe Segond Fracture, and Historical Perspective. American Journal of Roentgenology. 204(2), 367–373. doi:10.2214/ajr.14.12693.

Avulsion Fracture of the Lateral Knee: Segond Fracture

Year 2023, Volume: 5 Issue: 2, 119 - 120, 01.07.2023
https://doi.org/10.38175/phnx.1203503

Abstract

Segond fracture is classically defined as an avulsion fracture occurring just below the level of the tibial plateau, lateral to the proximal tibia. It is more common in traumas that occur during rotation of the knee, and in complex knee injuries, Segond fracture is a pathognomonic finding for anterior cruciate ligament (ACL) tear. It has been observed that 75-100% of patients with ACL injuries are accompanied by a Segond fracture. Along with the ACL, it is associated with rupture of the lateral capsule or lateral meniscus and is important in that it can cause chronic anterolateral knee instability.

References

  • Shaikh H, Herbst E, Rahnemai-Azar AA, Bottene Villa Albers M, Naendrup JH, Musahl V, et al. The Segond Fracture Is an Avulsion of the Anterolateral Complex. Am J Sports Med. 2017 Aug;45(10):2247-2252. doi: 10.1177/0363546517704845.
  • Ferretti A, Monaco E, Wolf MR, Guzzini M, Carli A, Mazza D. Surgical Treatment of Segond Fractures in Acute Anterior Cruciate Ligament Reconstruction. Orthop J Sports Med. 2017 Oct;5(10):2325967117729997.
  • Campos JC, Chung CB, Lektrakul N, Pedowitz R, Trudell D, Yu J, Resnick D. Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Radiology. 2001 May;219(2):381-6. doi: 10.1148/radiology.219.2.r01ma23381. PMID: 11323461.
  • Goldman AB, Pavlov H, Rubenstein D. The Segond fracture of the proximal tibia: a small avulsion that reflects major ligamentous damage. AJR Am J Roentgenol. 1988;151:1163e1167.
  • Porrino, J., Maloney, E., Richardson, M., Mulcahy, H., Ha, A., &Chew, F. S. (2015). The Anterolateral Ligament of the Knee: MRI Appearance, Association Withthe Segond Fracture, and Historical Perspective. American Journal of Roentgenology. 204(2), 367–373. doi:10.2214/ajr.14.12693.
There are 5 citations in total.

Details

Primary Language Turkish
Subjects Emergency Medicine
Journal Section Image Presentation
Authors

Hilal Sümeyye Körelçiner 0000-0001-5716-8603

Serdar Özdemir 0000-0002-6186-6110

Merve Osoydan Satıcı 0000-0002-3169-0724

Publication Date July 1, 2023
Submission Date November 13, 2022
Acceptance Date December 19, 2022
Published in Issue Year 2023 Volume: 5 Issue: 2

Cite

Vancouver Körelçiner HS, Özdemir S, Osoydan Satıcı M. Diz Lateralinin Avülsiyon Kırığı: Segond Kırığı. Phnx Med J. 2023;5(2):119-20.

2392_ccby-295.jpg
Phoenix Medical Journal is licensed under a Creative Commons Attribution 4.0 International License.


2392_boai-189.jpg

Phoenix Medical Journal has signed the Budapest Open Access Declaration.