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与腓骨头撕脱骨折相关的骨软骨Segond骨折——“弓形征”

Osteochondral Segond Fracture Associated with Fibular Head Avulsion Fracture - "Arcuate Sign".

作者信息

Pimenta Frederico Silva, Cunha Renata Gabriela Pereira, Rocha Lorran Fabrini de Araújo, Oliveira Arthur Ribeiro, Caldas Marco Túlio Lopes, Gonçalves Thiago Saldanha

机构信息

Hospital Maria Amélia Lins, Belo Horizonte, MG, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2021 Aug;56(4):533-536. doi: 10.1055/s-0040-1702956. Epub 2020 Mar 23.

DOI:10.1055/s-0040-1702956
PMID:34483400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8405274/
Abstract

A deviated osteochondral fracture of the anterolateral tibia associated with fibular head avulsion in a 50-year-old patient is reported. In general, avulsion fracture of the iliotibial tract is associated with injuries in the cruciate ligament, in the meniscus and in lateral knee structures, as in the case herein reported.

摘要

报道了一名50岁患者，其胫骨前外侧存在骨软骨骨折并伴有腓骨头撕脱。一般来说，髂胫束撕脱骨折与十字韧带、半月板及膝关节外侧结构损伤相关，本文报道的病例亦是如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/ac7aee527bf8/10-1055-s-0040-1702956-i1900159pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/3e50caca09fe/10-1055-s-0040-1702956-i1900159en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/6d49f1d33d92/10-1055-s-0040-1702956-i1900159en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/f8c13e59f774/10-1055-s-0040-1702956-i1900159en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/caa5ed314575/10-1055-s-0040-1702956-i1900159en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/7bf1a43cb90b/10-1055-s-0040-1702956-i1900159pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/5a1fcf985b09/10-1055-s-0040-1702956-i1900159pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/566c1de519ac/10-1055-s-0040-1702956-i1900159pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/ac7aee527bf8/10-1055-s-0040-1702956-i1900159pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/3e50caca09fe/10-1055-s-0040-1702956-i1900159en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/6d49f1d33d92/10-1055-s-0040-1702956-i1900159en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/f8c13e59f774/10-1055-s-0040-1702956-i1900159en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/caa5ed314575/10-1055-s-0040-1702956-i1900159en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/7bf1a43cb90b/10-1055-s-0040-1702956-i1900159pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/5a1fcf985b09/10-1055-s-0040-1702956-i1900159pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/566c1de519ac/10-1055-s-0040-1702956-i1900159pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb0b/8405274/ac7aee527bf8/10-1055-s-0040-1702956-i1900159pt-4.jpg

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1
Osteochondral Segond Fracture Associated with Fibular Head Avulsion Fracture - "Arcuate Sign".与腓骨头撕脱骨折相关的骨软骨Segond骨折——“弓形征”
Rev Bras Ortop (Sao Paulo). 2021 Aug;56(4):533-536. doi: 10.1055/s-0040-1702956. Epub 2020 Mar 23.
2
The Segond Fracture Is an Avulsion of the Anterolateral Complex.Segond骨折是前外侧复合体的撕脱伤。
Am J Sports Med. 2017 Aug;45(10):2247-2252. doi: 10.1177/0363546517704845. Epub 2017 May 12.
3
Bilateral Avulsion Fracture of the Fibula Head of the Knee Associated with Avulsion Fracture of the Iliotibial Band: A Rare Case of Fracture Segond Associated with Arcuate Fracture.膝关节腓骨头双侧撕脱骨折伴髂胫束撕脱骨折：一例罕见的与弓状骨折相关的Segond骨折
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[Analysis of the characteristics and clinical diagnosis and treatment of avulsion fracture of the lateral edge of tibial plateau].[胫骨平台外侧缘撕脱骨折的特点及临床诊治分析]
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Segond fracture: involvement of the iliotibial band, anterolateral ligament, and anterior arm of the biceps femoris in knee trauma.Segond骨折：膝关节创伤中髂胫束、前外侧韧带和股二头肌前侧臂受累。
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The anterolateral ligament of the knee: MRI appearance, association with the Segond fracture, and historical perspective.膝关节前外侧韧带：MRI表现、与Segond骨折的关联及历史回顾
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本文引用的文献

1
The Segond Fracture Is an Avulsion of the Anterolateral Complex.Segond骨折是前外侧复合体的撕脱伤。
Am J Sports Med. 2017 Aug;45(10):2247-2252. doi: 10.1177/0363546517704845. Epub 2017 May 12.
2
Iliotibial band avulsion fracture: a case report with differential diagnosis.髂胫束撕脱骨折：一例伴有鉴别诊断的病例报告
Emerg Radiol. 2016 Feb;23(1):93-96. doi: 10.1007/s10140-015-1347-0. Epub 2015 Sep 24.
3
[Osteochondral fractures at the knee joint].[膝关节的骨软骨骨折]
Unfallchirurg. 2015 Jul;118(7):621-32; quiz 633-4. doi: 10.1007/s00113-015-0033-8.
4
Combined osteochondral fracture of the posterolateral tibial plateau and Segond fracture with anterior cruciate ligament injury in a skeletally immature patient.胫骨平台后外侧髁合并骺软骨骨折伴前交叉韧带损伤的未成熟骨骼患者。
Knee Surg Sports Traumatol Arthrosc. 2012 Feb;20(2):252-5. doi: 10.1007/s00167-011-1533-x. Epub 2011 May 11.
5
Avulsion fractures of the knee: imaging findings and clinical significance.膝关节撕脱骨折：影像学表现及临床意义
Radiographics. 2008 Oct;28(6):1755-70. doi: 10.1148/rg.286085503.
6
The posterolateral attachments of the knee: a qualitative and quantitative morphologic analysis of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and lateral gastrocnemius tendon.膝关节的后外侧附着结构：腓侧副韧带、腘肌腱、腘腓韧带和外侧腓肠肌腱的定性与定量形态学分析
Am J Sports Med. 2003 Nov-Dec;31(6):854-60. doi: 10.1177/03635465030310062101.
7
MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee.膝关节外侧和后外侧的解剖结构及损伤的磁共振成像
AJR Am J Roentgenol. 2003 Mar;180(3):647-53. doi: 10.2214/ajr.180.3.1800647.
8
MR evaluation of the "arcuate" sign of posterolateral knee instability.膝关节后外侧不稳定“弓形”征的磁共振成像评估
AJR Am J Roentgenol. 2002 Mar;178(3):583-8. doi: 10.2214/ajr.178.3.1780583.
9
Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion.Segond骨折的发病机制：髂胫束或前斜束撕脱的解剖学及磁共振成像证据
Radiology. 2001 May;219(2):381-6. doi: 10.1148/radiology.219.2.r01ma23381.
10
Osseous lesions associated with anterior cruciate ligament injuries. Assessment by magnetic resonance imaging at various periods after injuries.与前交叉韧带损伤相关的骨病变。损伤后不同时期的磁共振成像评估。
Arch Orthop Trauma Surg. 1993;113(1):1-4. doi: 10.1007/BF00440586.