ISSN 1004-4140
CN 11-3017/P
| Citation: |
HE W H, FU X, FANG T S, et al. Application Value of Segond Fracture Imaging Features in Lateral Knee Instability[J]. CT Theory and Applications, 2023, 32(6): 771-776. DOI: 10.15953/j.ctta.2022.112. (in Chinese).
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Objective: To evaluate the imaging features of the Segond fracture and explore its clinical value in lateral instability of the knee joint. Methods: We retrospectively analyzed 45 cases of the Segond fracture. This involved the analysis of the characteristics of the fracture, including the relationship between the fracture and the ligaments around the knee joint, meniscus injury, and the size and location of the fracture block. Moreover, the significance of the Segond fracture in clinical treatment was discussed. Results: Among 45 cases of the Segond fracture, 41 (91.11%) had anterior cruciate ligament (ACL) injury, 31 (68.89%) had anterolateral ligament (ALL) injury, and 12 (26.67%) had iliotibial bundle (ITB) injury. The ALL were all attached to the fracture block, and 25 cases (55.55%) were attached to the ITB. The larger the size of the fracture block and the smaller the distance from the center of Gerdy's nodule, the more likely that the fracture block was attached to the ITB. Conclusion: The Segond fracture is often associated with ACL injury, involving the ALL and ITB. The larger the fracture block and the closer to the center of Gerdy's nodule, the greater the possibility of ITB involvement. Therefore, patients with Segond fractures should be alert to lateral instability of the knee joint.
| [1] |
SEGOND P. Recherches cliniques et experimentales sur les epanchements sanguins du genou par entorse[M]. Paris: Aux Bureaux du Progrès Médical, 1879: 1-85.
|
| [2] |
WHARTON R, HENCKEL J, BHATTEE G, et al. Segond fracture in an adult is not pathognomonic for ACL injury[J]. Knee Surgery, Sport Traumatology, Arthroscopy, 2015, 23(7): 1925−1928. doi: 10.1007/s00167-014-2965-x
|
| [3] |
PATEL R M, BROPHY R H. Anterolateral ligament of the knee: Anatomy, function, imaging, and treatment[J]. The American Journal of Sports Medicine, 2018, 46(1): 217−223. doi: 10.1177/0363546517695802
|
| [4] |
FERRETTI A, MONACO E, WOLF M R, et al. Surgical treatment of Segond fractures in acute anterior cruciate ligament reconstruction[J]. Orthopaedic Journal of Sports Medicine, 2017, 5(10): 1−6.
|
| [5] |
de MAESENEER M, BOULET C, WILLEKENS I, et al. Segond fracture: Involvement of the iliotibial band, anterolateral ligament, and anterior arm of the biceps emoris in knee trauma[J]. Skeletal Radiology, 2015, 44(3): 413−421. doi: 10.1007/s00256-014-2044-x
|
| [6] |
HELITO P V P, BARTHOLOMEEUSEN S, CLAES S, et al. Magnetic resonance imaging evaluation of the anterolateral ligament and the iliotibial band in acute anterior cruciate ligament injuries associated with Segond fractures[J]. Arthroscopy, 2020, 36(6): 1679−1686. doi: 10.1016/j.arthro.2020.02.005
|
| [7] |
GETGOOD A, BROWN C, LORDING T, et al. The anterolateral complex of the knee: Results from the International ALC Consensus Group Meeting[J]. Knee Surgery, Sport Traumatology, Arthroscopy, 2019, 27(1): 166−176. doi: 10.1007/s00167-018-5072-6
|
| [8] |
范亚杰, 张民泽. 前外侧韧带对膝关节旋转稳定作用的研究进展[J]. 骨科临床与研究杂志, 2017,2(4): 253−256.
|
| [9] |
DAVIS B A, HILLER L P, IMBESI S G, et al. Isolated lateral collateral ligament complex injury in rock climbing and Brazilian Jiu -jitsu[J]. Skeletal Radiology, 2015, 44(8): 1175−1179. doi: 10.1007/s00256-015-2108-6
|
| [10] |
CLAES S, VEREECKE E, MAES M, et al. Anatomy of the anterolateral ligament of the knee[J]. Journal of Anatomy, 2013, 223(4): 321−328. doi: 10.1111/joa.12087
|
| [11] |
DODDS A L, HALEWOOD C, GUPTE C M, et al. The anterolateral ligament: Anatomy, length changes and association with the Segond fracture[J]. Bone & Joint Journal, 2014, 96-B(3): 325−331.
|
| [12] |
FLORES D V, SMITAMAN E, HUANG B K, et al. Segond fracture: An MR evaluation of 146 patients with emphasis on the avulsed bone fragment and what attaches to it[J]. Skeletal Radiology, 2016, 45(12): 1635−1647. doi: 10.1007/s00256-016-2479-3
|
| [13] |
徐亦鹏, 李冕, 闫石, 等. 前交叉韧带损伤与胫骨平台后侧骨损伤的相关性分析[J]. 骨科, 2020,11(3): 54−58. doi: 10.3969/j.issn.1674-8573.2020.03.009
XU Y P, LI M, YAN S, et al. Correlation analysis between anterior cruciate ligament injury and posterior tibial plateau bone injury[J]. Orthopaedics Journal, 2020, 11(3): 54−58. (in Chinese). doi: 10.3969/j.issn.1674-8573.2020.03.009
|
| [14] |
狄亚龙, 韩长旭, 任逸众. 膝关节前外侧韧带的研究进展[J]. 中华解剖与临床杂志, 2017,22(3): 252−255. doi: 10.3760/cma.j.issn.2095-7041.2017.03.018
DI Y L, HAN C X, REN Y Z. The research progress of anterolateral ligament[J]. Chinese Journal of Anatomy and Clinics, 2017, 22(3): 252−255. (in Chinese). doi: 10.3760/cma.j.issn.2095-7041.2017.03.018
|
| [15] |
VIEIRA E L, VIEIRA E A, SILVA R T, et al. An anatomic study of the iliotibial tract[J]. Arthroscopy, 2007, 23(3): 269−274. doi: 10.1016/j.arthro.2006.11.019
|
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