The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture

Knee Surg Sports Traumatol Arthrosc. 2018 May;26(5):1305-1310. doi: 10.1007/s00167-017-4549-z. Epub 2017 Apr 26.


The purpose of this report was to describe the injury mechanism, surgical findings, and outcomes in a 21-year-old professional female football player who presented with a complete anterior cruciate ligament (ACL) rupture and Segond fracture. Interview and video analysis were performed to elicit the injury mechanism. Clinical examination and imaging revealed a complete ACL tear, Segond fracture, lateral meniscus tear, MCL sprain, and posterolateral corner sprain. Examination under anaesthesia revealed Grade 2 pivot shift and varus/valgus instability. Surgical examination revealed attachment of the posterior fibres of the iliotibial band and the lateral capsule to the Segond fragment. The fracture was reduced with suture fixation, and an anatomic ACL reconstruction was performed. Follow-up demonstrated rotatory and anterior tibial translation stability, and imaging at 7 months post-operatively revealed no movement and continued osseous integration of the Segond fragment. Level of evidence V.

Keywords: ACL; ALL; Capsule; Iliotibial band; Knee; Pivot shift; Segond.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Anterior Cruciate Ligament Injuries / diagnosis
  • Anterior Cruciate Ligament Injuries / etiology
  • Anterior Cruciate Ligament Injuries / surgery*
  • Anterior Cruciate Ligament Reconstruction / methods
  • Female
  • Humans
  • Menisci, Tibial / surgery*
  • Rupture / surgery
  • Tibia / surgery*
  • Tibial Fractures / complications*
  • Tibial Fractures / diagnosis
  • Tibial Fractures / surgery
  • Ultrasonography
  • Young Adult