A Reverse Segond fracture is classified as ________.

A Reverse Segond fracture is classified as ________.

• A. An avulsion fracture of the medial tibial plateau
• B. A fracture of the femoral condyle
• C. A stress fracture of the tibia
• D. A fracture of the fibula

Answer: (A)

A Reverse Segond fracture is classified as an avulsion fracture of the medial tibial plateau. This type of fracture typically involves the shearing off of a small piece of bone that is associated with the attachment of a ligament, often due to forces that result in a varus stress, which is a lateral force applied to the knee. In the case of a Reverse Segond fracture, the pACL or posterior cruciate ligament is commonly implicated. It contrasts with the classic Segond fracture, which occurs on the lateral side of the knee and is associated with damage to the anterior cruciate ligament (ACL). Recognizing this distinction is important, as it has clinical implications for the assessment and treatment of knee injuries, particularly in understanding the mechanisms of injury and the associated ligamentous damage. This knowledge aids clinicians in developing an appropriate rehabilitation plan and addressing any potential instability in the knee joint. The other options pertain to different types or locations of fractures, which do not accurately describe a Reverse Segond fracture.

A Reverse Segond fracture is classified as an avulsion fracture of the medial tibial plateau. This type of fracture typically involves the shearing off of a small piece of bone that is associated with the attachment of a ligament, often due to forces that result in a varus stress, which is a lateral force applied to the knee.

In the case of a Reverse Segond fracture, the pACL or posterior cruciate ligament is commonly implicated. It contrasts with the classic Segond fracture, which occurs on the lateral side of the knee and is associated with damage to the anterior cruciate ligament (ACL). Recognizing this distinction is important, as it has clinical implications for the assessment and treatment of knee injuries, particularly in understanding the mechanisms of injury and the associated ligamentous damage. This knowledge aids clinicians in developing an appropriate rehabilitation plan and addressing any potential instability in the knee joint.

The other options pertain to different types or locations of fractures, which do not accurately describe a Reverse Segond fracture.