Department of Orthopaedic Surgery, School of Medicine, University of Pittsburgh, Kaufmann Medical Building, Suite 1011, 3471 Fifth Avenue, Pittsburgh, PA, 15213, USA.
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Knee Surg Sports Traumatol Arthrosc. 2022 Jan;30(1):71-77. doi: 10.1007/s00167-021-06515-w. Epub 2021 Mar 1.
This is a case report of a 26-year-old male who sustained a Segond fracture in the context of an acute anterior cruciate ligament (ACL) rupture incurred while downhill skiing. Further work-up revealed that the Segond fracture consisted of two distinct fragments with separate soft tissue attachments, including the capsule-osseous layer of the iliotibial band and the short arm of the biceps femoris. Imaging showed interval healing of the Segond fracture between initial presentation and the performance of arthroscopic ACL reconstruction approximately 4 months later. As intraoperative evaluation demonstrated that anatomic ACL reconstruction restored translational and rotatory knee stability, surgical repair of the Segond fracture, or the anterolateral complex of the knee more broadly, was not required. Maintenance of translational and rotatory knee stability was confirmed at serial post-operative appointments up through final follow-up.Level of evidence Level V.
这是一例 26 岁男性病例报告，该患者在速降滑雪过程中发生急性前交叉韧带（ACL）断裂，同时伴有 Segond 骨折。进一步的检查显示，Segond 骨折由两个不同的碎片组成，分别与软组织相连，包括阔筋膜张肌和股二头肌短头的关节囊-骨层。影像学显示，Segond 骨折在初次就诊和大约 4 个月后进行关节镜 ACL 重建之间存在间隔愈合。由于术中评估表明解剖 ACL 重建恢复了膝关节的平移和旋转稳定性，因此不需要修复 Segond 骨折或更广泛的膝关节前外侧复合体。在系列术后随访中直至最终随访，均确认了膝关节的平移和旋转稳定性。证据水平 V 级。
