Reverse Segond Fracture without Posterior Cruciate Ligament Injury - A report of Two Cases and Review of the Literature.

Abstract

Reverse Segond fracture is a cortical avulsion fracture off the medial tibial plateau of the knee, associated with tears of the posterior cruciate ligament (PCL), medial collateral ligament (MCL), medial meniscus, and probably the anterior cruciate ligament (ACL). Unlike Segond fracture, it is a very rare injury of the knee.Case one is a 24-year-old male with left tibial plateau and reverse Segond fracture with an magnetic resonance imaging (MRI) showing MCL avulsion, medial meniscus entrapped in fracture site and ACL tear but intact PCL. The second case is a 56-year-old female showing reverse Segond and lateral tibial plateau fracture confirmed by X-ray and computed tomography scan. MRI revealed intact PCL, detached medial meniscus from peripheral capsule and ACL injury.Based on this study and previous rare reports, reverse Segond fracture may not be accompanied by PCL injuries in all cases.