The segond fracture: A narrative review of the anatomy, biomechanics and clinical implications

Sean Kean Ann Phua; Jia Ying Lim; Tianpei Li; Sean Wei Loong Ho

doi:10.1016/j.jcot.2023.102127

The segond fracture: A narrative review of the anatomy, biomechanics and clinical implications

J Clin Orthop Trauma. 2023 Feb 13:38:102127. doi: 10.1016/j.jcot.2023.102127. eCollection 2023 Mar.

Authors

Sean Kean Ann Phua¹, Jia Ying Lim¹, Tianpei Li², Sean Wei Loong Ho¹

Affiliations

¹ Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
² Department of Radiation Oncology, National Cancer Centre, Singapore.

Abstract

The Segond fracture is commonly regarded as pathognomonic for significant intra-articular pathology such as an anterior cruciate ligament (ACL) tear. There is worsened rotatory instability in patients with concomitant ACL tear and Segond fracture. Current evidence does not suggest that a concomitant and unrepaired Segond fracture leads to worst clinical outcomes after ACL reconstruction. However, there remains a lack of consensus on several aspects of the Segond fracture such as its exact anatomical attachments, ideal imaging modality for detection and indication for surgical treatment. There is currently no comparative study evaluating the outcomes of combined ACL reconstruction and Segond fracture fixation. More research is necessary to deepen our understanding and establish consensus on the role of surgical intervention.

Keywords: ACL; Anterolateral; Ligament; Orthopaedic; Reconstruction; Sports.

Publication types

Review