ArticleThe American journal of sports medicine2020
Incidence and Prognostic Significance of the Segond Fracture in Patients Undergoing Anterior Cruciate Ligament Reconstruction.
Article in The American journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 43 citations in OpenAlex.
- Posterolateral Tibial Plateau Fractures in Adult Anterior Cruciate Ligament Avulsion Effect on Postoperative Knee Function.Orthopaedic surgery · 2025Article
- Patient Age and Activity Level, Posterior Tibial Slope, and Use of Allograft Are Significant Risk Factors for Anterior Cruciate Ligament Reconstruction Failure: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- Segond Fracture: From X-ray to Surgical Treatment.Cureus · 2025Article
- The presence of a Segond fracture in ACL-injured patients is associated with increased internal tibial rotation on preoperative MRIs.Journal of orthopaedic surgery and research · 2024Article
- Segond fracture: an indicator for increased risk of lateral meniscus injury in patients with acute anterior cruciate ligament ruptures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Lateral meniscal injury without medial meniscal injury indicates the existence of the Segond fracture in ACL-deficient knees.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
- Patients With Anterior Cruciate Ligament Rupture and Ipsilateral Segond Fractures Have High Rates of Concurrent Knee Pathology.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- The segond fracture: A narrative review of the anatomy, biomechanics and clinical implications.Journal of clinical orthopaedics and trauma · 2023Review
- Morphological analysis of posterior-medial intertrochanteric fracture patterns using fracture-mapping technique.Frontiers in bioengineering and biotechnology · 2023Article
- Anterior cruciate ligament rupture and associated Segond fracture: Incidence and effect on associated ligamentous and meniscal injuries.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2022Article
- Prevalence of Segond fractures associated with anterior cruciate ligament injuries and their influence on knee joint stability; A case-control study.BMC musculoskeletal disorders · 2022Article
- Two-fragment Segond fracture validates historical descriptions of independent soft tissue attachments.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- [25/m-Knee distortion during basketball : Preparation for the medical specialist examination: part 62].Der Unfallchirurg · 2021Article
- Unusual combination of posterior cruciate ligament tibial avulsion fracture and Segond fracture: A case report.International journal of surgery case reports · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Segond fracture is an avulsion of the anterolateral tibia that can be found in patients with an anterior cruciate ligament (ACL) tear. It is currently unclear if the Segond fracture needs treatment or if it heals spontaneously and if it is associated with an increased risk of failure after ACL reconstruction. PURPOSE: To identify the incidence and spontaneous healing rate of Segond fractures in a consecutive cohort of patients undergoing ACL reconstruction and to examine the predictive value of the Segond fracture on the risk of undergoing revision surgery. STUDY
designCohort study; Level of evidence, 3.
methodsA retrospective review of a cohort undergoing isolated ACL reconstruction between 2002 and 2016 was performed. Radiographs from the time of injury and preoperative radiographs were evaluated for Segond fractures and healed Segond fractures. Descriptive data were extracted from an internal quality database. Statistical analyses were performed to investigate risk of revision surgery and to compare across subgroups of patients.
resultsA total of 1364 patients were included in the study. The incidence of Segond fractures was 7.4%. In addition, 10.4% of patients displayed signs of healed Segond fractures. In total, 15.2% of patients had either 1 or both findings. The overall healing response of the fracture was 35.6%. Those with Segond fractures were older (
conclusionThe incidence of conventional Segond fractures in patients with ACL injury was found to be in accordance with former studies. Accounting for the high incidence of healed Segond fractures, a much higher incidence (15%) was seen. Although the spontaneous healing rate from initial radiographs to preoperative imaging was only 36%, the presence of Segond fractures did not represent a higher risk of undergoing revision surgery.
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