Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Kaufman Building Suite 1011, 3471 Fifth Avenue, Pittsburgh, PA, 15213, USA.
Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Knee Surg Sports Traumatol Arthrosc. 2018 May;26(5):1305-1310. doi: 10.1007/s00167-017-4549-z. Epub 2017 Apr 26.
The purpose of this report was to describe the injury mechanism, surgical findings, and outcomes in a 21-year-old professional female football player who presented with a complete anterior cruciate ligament (ACL) rupture and Segond fracture. Interview and video analysis were performed to elicit the injury mechanism. Clinical examination and imaging revealed a complete ACL tear, Segond fracture, lateral meniscus tear, MCL sprain, and posterolateral corner sprain. Examination under anaesthesia revealed Grade 2 pivot shift and varus/valgus instability. Surgical examination revealed attachment of the posterior fibres of the iliotibial band and the lateral capsule to the Segond fragment. The fracture was reduced with suture fixation, and an anatomic ACL reconstruction was performed. Follow-up demonstrated rotatory and anterior tibial translation stability, and imaging at 7 months post-operatively revealed no movement and continued osseous integration of the Segond fragment. Level of evidence V.
本报告旨在描述一名 21 岁职业女性足球运动员的损伤机制、手术发现和结果，该运动员出现完全前交叉韧带（ACL）断裂和 Segond 骨折。通过访谈和视频分析来确定损伤机制。临床检查和影像学检查显示 ACL 完全撕裂、Segond 骨折、外侧半月板撕裂、MCL 扭伤和后外侧角扭伤。麻醉下检查显示 2 级枢轴转移和内翻/外翻不稳定。手术检查显示髂胫束后纤维和外侧囊附着于 Segond 骨折块。通过缝合固定使骨折复位，并进行解剖 ACL 重建。随访显示旋转和胫骨前平移稳定性，术后 7 个月的影像学检查显示 Segond 骨折块无活动且持续有骨整合。证据等级 V。
