UMEM Educational Pearls

Category: Orthopedics

Title: Reverse Segond Fracture

Keywords: Segond, Reverse, Fracture (PubMed Search)

Posted: 10/19/2014 by Michael Bond, MD
Click here to contact Michael Bond, MD

The Reverse Segond Fracture

Most people have heard of a segond fracture (avulsion fracture of the lateral tibeal platuea) seen on knee xrays which is a marker for Anterior Cruciate Ligament and medial meniscus injuries. See Pearl

However, there is also a Reverse Segond Fracture that is another benign appearing avulsion fracture of the medial tibeal plateau that is marker for significant injury to the Posterior Cruciate Ligament (PCL).

If a Segond or Reverse Segond Fracture is seen consider immobilzing the patients knee until they can follow up with Orthopedics and/or get an MRI to determine if additional injuries are present.