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Journals / Anka Tıp Dergisi / 2026 / Cilt: 5 Sayı: 2

Avulsion Fracture of the Lateral Knee: Segond Fracture

Diz Lateralinin Avülsiyon Kırığı: Segond Kırığı

Hilal Sümeyye Körelçiner(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL ÜMRANİYE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0001-5716-8603
Serdar Özdemir(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL ÜMRANİYE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-6186-6110
Merve Osoydan Satıcı(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL ÜMRANİYE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-3169-0724
Pages
119–120
Publication Date
2023-07-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

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.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Segond fracture is classically defined as an avulsion fracture occurring just below the level of the tibial plateau, lateral to the proximal tibia.
📊
Key Findings & Data:It has been observed that 75-100% of patients with ACL injuries are accompanied by a Segond fracture.
💡
Conclusion & Impact: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.
🔬Design:Görüntü Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:segond kırığı · diz · ön çapraz bağ

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.

Özet

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.

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Cite This Article

Körelçiner, H. S., Özdemir, S., Satıcı, M. O. (2023). Avulsion Fracture of the Lateral Knee: Segond Fracture. Anka Tıp Dergisi, Cilt: 5 Sayı: 2, 119–120. https://doi.org/10.38175/phnx.1203503

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References (5)

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.