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This is a pure compression fracture of the lateral or central tibial plateau in which the articular surface of the tibial plateau is depressed and driven into the lateral tibial metaphysis by axial forces.3 A low energy injury, these fractures are more frequent in the 4th and 5th decades of life and individuals with osteoporotic changes in bone.
Tiny osseous fragments near the presumed attachment site of a ligament suggest this diagnosis. Common sites are the lateral tibial plateau (the Segond fracture), the spinal tuberosity of the tibia resulting from anterior cruciate ligament avulsion, and the ischial tuberosity. [1]
Patella fracture; Crus fracture. Tibia fracture. Pilon fracture; Tibial plateau fracture; Bumper fracture – a fracture of the lateral tibial plateau caused by a forced valgus applied to the knee; Segond fracture – an avulsion fracture of the lateral tibial condyle; Gosselin fracture – a fractures of the tibial plafond into anterior and ...
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Originally described by Dr. Paul Segond in 1879 [6] [7] after a series of cadaveric experiments, the Segond fracture occurs in association with tears of the anterior cruciate ligament (ACL) (75–100%) and injury to the medial meniscus (66–75%), lateral capsular ligament (now known as the Anterolateral ligament, or ALL), as well as injury to the structures behind the knee.
Localised tenderness over the medial knee is the most common finding of the condition. It is usually happening on one side, without a previous history of trauma. SONK should be considered together with differential diagnosis of osteoarthritis, tear of medial meniscus, and tibial plateau fracture. SONK usually has a sudden onset of knee pain ...
The patella plays no significant role in the posterolateral corner. The bony shape of the posterolateral knee, with the two convex opposing surfaces of the lateral femoral condyle and the lateral tibial plateau, makes this portion of the knee inherently unstable compared to the medial aspect. Thus, it has a much higher risk of not healing ...
A tib-fib fracture is a fracture of both the tibia and fibula of the same leg in the same incident. In 78% of cases, a fracture of the fibula is associated with a tibial fracture. [6] Since the fibula is smaller and weaker than the tibia, a force strong enough to fracture the tibia often fractures the fibula as well. Types include: