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      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

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          Abstract

          Fibular head avulsion fractures are rare and are so-called the arcuate signal. Avulsion fracture of the iliotibial band and anterolateral ligament is known as a Segond fracture, and it is another rare entity. We describe the case of a 27-year-old woman who was hit by a car and suffered polytrauma, mainly suffering injuries to both knees. Radiographs of the knees showed a Segond fracture associated with the arched signal bilaterally. The aim of this study is to present a rare case report and literature review of a bilateral fibular head avulsion fracture associated with an anterolateral tibial avulsion fracture.

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          The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting

          Alan Getgood, Charles Brown, Timothy Lording … (2019)
          The structure and function of the anterolateral complex (ALC) of the knee has created much controversy since the 're-discovery' of the anterolateral ligament (ALL) and its proposed role in aiding control of anterolateral rotatory laxity in the anterior cruciate ligament (ACL) injured knee. A group of surgeons and researchers prominent in the field gathered to produce consensus as to the anatomy and biomechanical properties of the ALC. The evidence for and against utilisation of ALC reconstruction was also discussed, generating a number of consensus statements by following a modified Delphi process. Key points include that the ALC consists of the superficial and deep aspects of the iliotibial tract with its Kaplan fibre attachments on the distal femur, along with the ALL, a capsular structure within the anterolateral capsule. A number of structures attach to the area of the Segond fracture including the capsule-osseous layer of the iliotibial band, the ALL and the anterior arm of the short head of biceps, and hence it is not clear which is responsible for this lesion. The ALC functions to provide anterolateral rotatory stability as a secondary stabiliser to the ACL. Whilst biomechanical studies have shown that these structures play an important role in controlling stability at the time of ACL reconstruction, the optimal surgical procedure has not yet been defined clinically. Concern remains that these procedures may cause constraint of motion, yet no clinical studies have demonstrated an increased risk of osteoarthritis development. Furthermore, clinical evidence is currently lacking to support clear indications for lateral extra-articular procedures as an augmentation to ACL reconstruction. The resulting statements and scientific rationale aim to inform readers on the most current thinking and identify areas of needed basic science and clinical research to help improve patient outcomes following ACL injury and subsequent reconstruction.Level of evidence V.
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            Pelvic ring fractures: should they be fixed?

            M Tile (1988)
            Article 0 comments Cited 85 times – based on 0 reviews     Review now
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              Posterolateral corner of the knee: an expert consensus statement on diagnosis, classification, treatment, and rehabilitation

              Jorge Chahla, Iain Murray, James Robinson … (2019)
              To develop a statement on the diagnosis, classification, treatment, and rehabilitation concepts of posterolateral corner (PLC) injuries of the knee using a modified Delphi technique.
              Article 0 comments Cited 35 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Jonatas Brito de Alencar Neto:
                ORCID: https://orcid.org/0000-0003-3318-5067
                Journal
                Journal ID (nlm-ta): Case Rep Orthop
                Journal ID (iso-abbrev): Case Rep Orthop
                Journal ID (publisher-id): CRIOR
                Title: Case Reports in Orthopedics
                Publisher: Hindawi
                ISSN (Print): 2090-6749
                ISSN (Electronic): 2090-6757
                Publication date Collection: 2020
                Publication date (Electronic): 14 July 2020
                Volume: 2020
                Electronic Location Identifier: 8825638
                Affiliations
                1Orthopedic Surgeon of the Dr. José Frota Institute, 1816 Barão do Rio Branco St., Fortaleza, Ceará, Brazil
                2Orthopedic Surgeon in Articular Clinic Medical Center, 2340 Pontes Vieira Ave., Fortaleza, Ceará, Brazil
                3Department of Orthopedics in Walter Cantídio Hospital University Federal of Ceará, 1290 Pastor Samuel Munguba St., Fortaleza, CE, Brazil
                Author notes

                Academic Editor: John Nyland

                Author information
                https://orcid.org/0000-0003-3318-5067
                Article
                DOI: 10.1155/2020/8825638
                PMC ID: 7378631
                SO-VID: 02f6c064-2c43-41d1-8aae-d339fced0769
                Copyright © Copyright © 2020 Jonatas Brito de Alencar Neto et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 28 April 2020
                Date revision received : 22 June 2020
                Date accepted : 3 July 2020
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Orthopedics
                Data availability:
                ScienceOpen disciplines: Orthopedics

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