Editing Segond fracture (section)

==Clinical significance==

Because of the high rate of associated ligamentous and meniscal injury, the presence of a Segond or reverse Segond fracture requires that these other [[pathology|pathologies]] must be specifically ruled out. Or more pragmatically, the orthopaedic team assume that the presence of Segond fracture equals ACL rupture, as the correlation is close to 100%. Increasingly, reconstruction of the ACL is combined with reconstruction of the anterolateral ligament when this associated pathology is present.<ref>{{Cite journal|last1=Fernandes|first1=Levi Reina|last2=Ouanezar|first2=Herve|last3=Saithna|first3=Adnan|last4=Sonnery-Cottet|first4=Bertrand|date=2018-03-20|title=Combined ACL reconstruction and Segond fracture fixation fails to abolish anterolateral rotatory instability|journal=BMJ Case Reports|volume=2018|pages=bcr–2018–224457|doi=10.1136/bcr-2018-224457|issn=1757-790X|pmc=5878234|pmid=29559494}}</ref><ref>{{Cite journal|last1=Saithna|first1=Adnan|last2=Thaunat|first2=Mathieu|last3=Delaloye|first3=Jean Romain|last4=Ouanezar|first4=Hervé|last5=Fayard|first5=Jean Marie|last6=Sonnery-Cottet|first6=Bertrand|date=January 2018|title=Combined ACL and Anterolateral Ligament Reconstruction|journal=JBJS Essential Surgical Techniques|volume=8|issue=1|pages=e2|doi=10.2106/JBJS.ST.17.00045|issn=2160-2204|pmc=6143299|pmid=30233974}}</ref><ref>{{Cite journal|last1=Cavaignac|first1=Etienne|last2=Saithna|first2=Adnan|last3=Monaco|first3=Edoardo|last4=Helito|first4=Camilo P.|last5=Daggett|first5=Matthew|last6=Reina|first6=Nicolas|last7=Sonnery-Cottet|first7=Bertrand|date=April 2018|title=Is Treatment of Segond Fracture Necessary With Combined Anterior Cruciate Ligament Reconstruction? Letter to the Editor|journal=The American Journal of Sports Medicine|volume=46|issue=5|pages=NP13–NP14|doi=10.1177/0363546518764420|pmid=29601246|s2cid=4502322|issn=0363-5465|url=http://irep.ntu.ac.uk/id/eprint/34908/1/12373_Saithna.pdf}}</ref><ref>{{Cite journal|last1=Saithna|first1=Adnan|last2=Cavaignac|first2=Etienne|last3=Monaco|first3=Edoardo|last4=Helito|first4=Camilo Partezani|last5=Ouanezar|first5=Hervé|last6=Daggett|first6=Matt|last7=Sonnery-Cottet|first7=Bertrand|date=April 2018|title=Segond Fractures Are Not a Risk Factor for Anterior Cruciate Ligament Reconstruction Failure: Letter to the Editor|journal=The American Journal of Sports Medicine|volume=46|issue=5|pages=NP23–NP24|doi=10.1177/0363546518765991|pmid=29601244|s2cid=4514223|issn=0363-5465|url=http://irep.ntu.ac.uk/id/eprint/34869/1/12374_Saithna.pdf}}</ref> The long-term benefit of an associated Anterolateral Ligament (ALL) reconstruction at the time of ACL surgery is not known. Attention and research is also being paid to a Lateral extra-articular Tenodesis (LET) instead of ALL.{{cn|date=October 2020}}