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Paul Ferdinand Segond

Paul Ferdinand Segond (1851-1912)

Paul Ferdinand Segond (1851-1912) was a French Orthopaedic Surgeon.

One of the foremost knee specialists in 19th century France. Most commonly his orthopaedic contributions are often overlooked in deference to his contributions to gynaecological surgery

Gynaecological approach per vagina to remove uterus (pioneer of the trans-vaginal hysterectomy), myomas and carcinomatous lesion.

Eponymously affiliated with Segond fracture he first described in 1879


Biography
  • Born on May 8, 1851, in Paris
  • 1878 – Professor of Anatomy
  • 1880 – MD, Thèse présentée au concours de l’agrégation ‘Cure radicale des hernies
  • 1883 – Chirurgien des Hôpitaux, Professor agrégé at Pitié-Salpétriere hopital
  • 1905 – Professor at the Faculty of Medicine of the University of Paris, succeeded Paul Jules Tillaux (1834-1904)
  • 1905 – Member of the French National Academy of Medicine
  • Died on October 27, 1912, in Paris

Medical Eponyms
Segond fracture (1879)

Avulsion fracture of the lateral margin of the lateral tibial plateau. Segond fracture has significant association with anterior cruciate ligament and meniscal injuries. In 1879 Segond repeated the work of Bonnet and demonstrated (in 17 of 38 experiments with cadavers) that internal rotation of the tibia with the knee in flexion results in tension on the lateral joint capsule of the knee at its midpoint where a pearly, fibrous, resistant band of tissue, the lateral capsular ligament (LCL), produces an avulsion fracture of the lateral tibia.

Segond fracture Recherches cliniques et expérimentales sur les épanchements sanguins du genou par entorse 1879
Segond 1879; Cross section of the tibia passing through the middle of the lesion that we have described above and behind the Gerdy tubercle

Segond described a small bony avulsion on the lateral tibial plateau and commented that:

…the lesion is pathognomonic of torsion of the knee in internal rotation and slight flexion of the lower leg and is associated with rupture of the anterior cruciate ligament

Segond 1879

Major Publications

References

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BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, Sir Charles Gairdner Hospital.  Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |

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