Presentation
Chronic knee pain with previous sports injury
Patient Data
Age: 35 years
Gender: Male
From the case:
Segond fracture
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MRI demonstrates avulsed cortical bone fragment along the lateral aspect of lateral tibial plateau (Segond fracture), these findings are chronic as there is no bone marrow edema/pivot shift bone bruise. Non visualization of ACL due to ACL disruption, and complex tear of posterior horn of medial meniscus as a combination of horizontal and radial tears that show T1-WI and PD- fat sat and T2-WI high signal intensity.
Case Discussion
Segond fracture is avulsion fracture of the knee that involves the lateral aspect of lateral tibial plateau, and in 75% of cases is associated with disruption of ACL.
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