Fractures: Segond fracture: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Fractures: Segond fracture

Sample item

A small elliptical avulsion fracture from the lateral tibial plateau on an AP knee radiograph is strongly associated with which injury?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Anterior cruciate ligament rupture

Segond fracture is an avulsion of the lateral capsular ligament from the lateral tibial plateau after internal rotation and varus stress. It has a very high association with ACL rupture and also with meniscal tears.

Option by option

  • A. Anterior cruciate ligament rupture (correct)

    Correct. A Segond fracture signals ACL rupture until proven otherwise.

  • B. Posterior cruciate ligament rupture

    PCL rupture is not the typical association.

  • C. Quadriceps tendon rupture

    Quadriceps tendon rupture is not associated.

  • D. Patellar dislocation

    Patellar dislocation is associated with different avulsions.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is A, Anterior cruciate ligament rupture. Segond fracture is an avulsion of the lateral capsular ligament from the lateral tibial plateau after internal rotation and varus stress.

Why is "Posterior cruciate ligament rupture" not the answer?

PCL rupture is not the typical association.

Why is "Quadriceps tendon rupture" not the answer?

Quadriceps tendon rupture is not associated.

Why is "Patellar dislocation" not the answer?

Patellar dislocation is associated with different avulsions.

What concept does this question test?

It tests Fractures: Segond fracture in Orthopaedics. It has a very high association with ACL rupture and also with meniscal tears.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Fractures: Segond fracture?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.