Title: Reverse Segond Fracture<br/>Author: Michael Bond<br/><a href='http://umem.org/profiles/faculty/78/'>[Click to email author]</a><hr/><p>
It is common teaching that a Segond Fracture is associated with ACL tears. A reverse Segond fracture, avulsion fracture of the knee due to avulsion of the deep fibers of the medial collateral ligament, has also been described that was initially reported as associated with PCL tears. However, a more recent study has not been able to collaborate the PCL connection, but has shown that a reverse Segond fracture is associated with multiple ligamentous injuries to the knee.<br />
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<strong>Take home point:</strong> If you note a Reverse Segond fracture on your plain flips have the patient followup with orthopedics for a possible MRI, as they probably have other ligamentous injuries that might need treatment.<br />
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<fieldset><legend>References</legend>
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Peltola EK, Lindahl J, Koskinen SK. The reverse Segond fracture: not associated with knee dislocation and rarely with posterior cruciate ligament tear. Emerg Radiol. 2014;21(3):245-249. doi:10.1007/s10140-013-1192-y.</li>
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Kose O, Ozyurek S, Turan A, Guler F. Reverse Segond fracture and associated knee injuries: A case report and review of 13 published cases. Acta Orthopaedica et Traumatologica Turcica. 9999;50(5):587-591. doi:10.1016/j.aott.2016.08.017.</li>
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