avulsion fractures due to its numerous tendinous, ligamentous, and meniscal attachments. The mechanism of this injury is often the result of internal rotation of RadioGraphics 20(Supplement 1):S91–S102, PubMed AP view of the left knee exhibiting a classic lateral capsular sign with a thin, vertically oriented, osseous avulsion fragment lateral and distal to the lateral tibial plateau (white arrow), Knee Surgery, Sports Traumatology, Arthroscopy, View 6 excerpts, cites background and methods, The Journal of bone and joint surgery. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. PubMed Google Scholar. Generally, the treatment for a pelvic avulsion fracture is rest. … Am J Roentgenol 178:583–588, Vinson EN, Major NM, Helms CA (2008) The posterolateral corner of the knee. 2001 May;219(2):381-6. doi: 10.1148/radiology.219.2.r01ma23381. Google Scholar, Huang GS, Yu JS, Munshi M, Chan WP, Lee CH, Chen CY, Resnick D (2003) Avulsion fracture of the head of the fibula (the “arcuate” sign): MR imaging findings predictive of injuries to the posterolateral ligaments and posterior cruciate ligament. Keith Baynes. Google Scholar, Whiteside LA, Roy ME (2009) Anatomy, function, and surgical access of the iliotibial band in total knee arthroplasty. Avulsion fracture of the iliotibial band (ITB), anterolateral ligament (ALL), and biceps aponeurosis is known as a Segond fracture [4–7]. Commonly discussed avulsion fractures of the lateral knee include the Segond fracture of the lateral tibial plateau and the arcuate complex avulsion fracture of the fibular styloid process. This type of in-jury often manifests radiographically as a tiny os- [21] reported the Segond fracture combined to popliteal tendon avulsion and iliotibial band avulsion. Avulsion fracture of the head of the fibula (the "arcuate" sign): MR imaging findings predictive of injuries to the posterolateral ligaments and posterior cruciate ligament. Avulsion fracture of the iliotibial band and anterolateral ligament is known as a Segond fracture, and it is another rare entity. Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA, Kristin Fay, Rajeev Mannem, Keith Baynes, Dhruv Sarin & Melissa DuBois, You can also search for this author in 3 Segond fracture. Lateral stabilizing structures of the knee: functional anatomy and injuries assessed with MR imaging. This fracture is usually associated with acute ACL tears. J Bone Joint Surg 91(Supplement 6):101–106, Juhng SK, Lee J, Choi SS, Yoon KH (2002) MR evaluation of the “arcuate” sign of posterolateral knee instability. MR evaluation of the "arcuate" sign of posterolateral knee instability. Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion. Alternatively, the same pathology can occur over the greater trochanter and is considered In some cases, surgery may be performed to re-attach the bone and tendon to the pelvis. It is crucial to identify IT band avulsion fractures because of the frequent associated internal derangements of the knee. Subtle fractures about the knee: innocuous-appearing yet indicative of significant internal derangement. Fay, K., Mannem, R., Baynes, K. et al. Am J Roentgenol 167(3):699–703, CAS Article This is a preview of subscription content, log in to check access. Google Scholar, Maesenner MD, Boulet C, Willekens I, Lenchik L, De Mey J, Cattrysse E, Shahabpour M (2015) Segond fracture: involvement of the iliotibial band, anterolateral ligament, and anterior arm of the biceps femoris in knee trauma. It is crucial to…, Bilateral Avulsion Fracture of the Fibula Head of the Knee Associated with Avulsion Fracture of the Iliotibial Band: A Rare Case of Fracture Segond Associated with Arcuate Fracture, The iliotibial band and anterolateral capsule have a combined attachment to the Segond fracture, The iliotibial tract: imaging, anatomy, injuries, and other pathology, Tip of the Iceberg Findings: Subtle Radiographic Abnormalities Indicating Significant Pathology in the Knee, Fratura osteocondral de Segond associada a fratura avulsão da cabeça da fíbula – “Sinal do arqueado”*. This case report describes the imaging of an acute IT band avulsion fracture and compares these findings with other lateral knee avulsion fractures. Tax calculation will be finalised during checkout. volume 23, pages93–96(2016)Cite this article. An avulsion fracture involves the detachment of a bone fragment that results from the pulling away of a ligament, tendon, or joint capsule from its point of attachment on a bone. avulsion fracture is the iliotibial (IT) band avulsion fracture involving the anterolateral corner of the tibia (Gerdy’stuber- cle).ItiscrucialtoidentifyITbandavulsionfracturesbecause Iliotibial band syndrome Other names Iliotibial band friction syndrome (ITBFS) Specialty Sports medicine, orthopedics Iliotibial band syndrome (ITBS) is the second most common knee injury caused by inflammation located on the lateral aspect of the knee due to friction between the iliotibial band and the lateral epicondyle of the femur. Commonly discussed avulsion fractures of the lateral knee include the Segond fracture of the lateral tibial plateau and the arcuate complex avulsion fracture of the fibular styloid process. We describe the case … Part of Springer Nature. Emerg Radiol 23, 93–96 (2016). Avulsion injuries of the knee are common sequelae of significant trauma given the number of ligamentous and tendinous insertions around the joint. Subscription will auto renew annually. Iliotibial Band Avulsion Fracture The iliotibial band along with the lateral capsular ligament are the primary stabilizing structures of the anterolateral knee. The iliotibial band represents the distal extension of the superficial and deep layers of the fascia lata … Iliotibial band (friction) syndrome is a common cause of lateral knee pain related to intense physical activity resulting in chronic inflammation. https://doi.org/10.1007/s10140-015-1347-0, DOI: https://doi.org/10.1007/s10140-015-1347-0, Over 10 million scientific documents at your fingertips, Not logged in American volume, Radiographics : a review publication of the Radiological Society of North America, Inc, By clicking accept or continuing to use the site, you agree to the terms outlined in our, Iliotibial band avulsion fracture: a case report with differential diagnosis. They tend to heal on their own in 4-6 weeks. Kristin Fay, Rajeev Mannem, Keith Baynes, D. Sarin, Melissa S Dubois. Avulsion fractures of the iliotibial band from the smooth, triangular, anterolateral facet on the lateral tibial condyle (Gerdy's tubercle) are very rare in adults. Emergency Radiology A less common avulsion fracture is the iliotibial (IT) band avulsion fracture involving the anterolateral corner of the tibia (Gerdy’s tubercle). https://doi.org/10.1007/s10140-015-1347-0. of Segond fracture is complex and may involve avulsion of the iliotibial tract and anterior oblique band as well. Am J Roentgenol 180(2):381–387. MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee. A less common avulsion fracture is the iliotibial (IT) band avulsion fracture involving the anterolateral corner of the tibia (Gerdy’s tubercle). You are currently offline. Segond fracture: involvement of the iliotibial band, anterolateral ligament, and anterior arm of the biceps femoris in knee trauma. [20] and DeLee et al. Gottsegen et al. Article Anatomy, function, and surgical access of the iliotibial band in total knee arthroplasty. This fracture is usually associated with acute ACL tears. Avulsion injuries of the knee are common sequelae of significant trauma given the number of ligamentous and tendinous insertions around the joint. A less common avulsion fracture is the iliotibial (IT) band avulsion fracture involving the anterolateral corner of the tibia (Gerdy’s tubercle). Pathogenesis of the Segond fracture: anatomic and MR imaging evidence of an iliotibial tract or anterior oblique band avulsion Radiology . Google Scholar, Gottsegen CJ, Eyer BA, White EA, Learch TJ, Forrester D (2008) Avulsion fractures of the knee: imaging findings and clinical significance. Skelet Radiol 44:413–421, Delzell PB, Schils JP, Recht MP (1996) Subtle fractures about the knee: innocuous-appearing yet indicative of significant internal derangement. Differential diag- nosis includes avulsion fracture of the iliotibial band from Gerdy's tubercle, fibular head avulsion fracture, com- pression fracture of the lateral tibial or femoral condyle with fragmenta- tion, and Iliotibial band avulsion fracture: a case report with differential diagnosis. AVULSION FRACTURES OF THE KNEE: IMAGING FINDINGS AND CLINICAL SIGNIFICANCE, Fig. Wharton et al. © 2020 Springer Nature Switzerland AG. Radiographics 28(6):1755–1770, Haims AH, Medvecky MJ, Pavlovich R, Katz LD (2003) MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee.
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