Reverse Segond fracture without PCL injury

This case involves a unique reverse Segond fracture pattern with ACL and MCL tears that does not have the usually involved PCL tear or obvious meniscal tear. It further shows the importance of recognition of the medial tibial avulsion fracture as an indicator of more severe internal derangement and instability of the knee. Early recognition prompts a more thorough evaluation and management of instability, with hope of better patient outcomes.