An isolated proximal tibiofibular joint dislocation in a young male playing soccer: a case report

Burke, Naomi; Robinson, Elizabeth; Thompson, Neville

doi:10.4076/1757-1626-2-7261

Cited by 22 publications

(32 citation statements)

References 12 publications

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“…[1][2][3][4][5][6][7][8][9][10][11][12] Although a number of case reports exist describing traumatic proximal tibiofibular dislocation (PTFD) in association with extremity trauma, 2,6,7,9 there are no series examining PTFD because it relates to high-energy traumatic injuries to the lower extremity apart from 1 report in the French literature by Garion et al 8 describing 9 cases. Currently, the majority of the literature focuses on sports-related injury to the proximal tibiofibular joint with the largest series published by Ogden in 1974.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Proximal Tibiofibular Dislocation

Herzog

Serrano-Riera

Sagi

2015

Journal of Orthopaedic Trauma

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Section: Introductionmentioning

confidence: 99%

Traumatic Proximal Tibiofibular Dislocation

Herzog

Serrano-Riera

Sagi

2015

Journal of Orthopaedic Trauma

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“…On the other hand, Burke et al 9 analysed different regimens of treatment and showed that there was no consensus about definitive management. These authors successfully treated a 23-year-old male patient by open reduction and temporary Kirschner-wire fixation.…”

Section: Discussionmentioning

confidence: 99%

“…These authors successfully treated a 23-year-old male patient by open reduction and temporary Kirschner-wire fixation. Most dislocations can be treated through closed reduction; however, open reduction may be required in some cases due to an anterior muscle tension and/or interposition of disrupted capsular ligaments that may resist reduction 9. MacGiobain et al 8 and Robinson et al 10 also reported a case of open reduction and internal fixation after an initial attempt with closed reduction failed.…”

Section: Discussionmentioning

confidence: 99%

Proximal tibiofibular joint dislocation treated using flexible and permanent syndesmosis fixation

Moscon¹,

Martimbianco

Duarte

et al. 2018

BMJ Case Reports

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We present the case of a 40-year-old man who suffered an isolated proximal tibiofibular dislocation of the left knee after a trauma during a soccer game. Physical examination and radiographic imaging revealed an anterolateral dislocation of the proximal fibula. The diagnosis was confirmed by MRI. The treatment choice was open reduction and internal fixation under direct visualisation using flexible and permanent internal fixation. Postoperative treatment includes knee immobilisation during the first week, and partial weight was allowed for 2 weeks progressing to full weight bearing over 4 weeks. The patient started a gradual and progressive physical therapy programme with range of motion exercises, muscle strengthening and gait training. Full knee range of motion was achieved after 4 weeks. No complaint of pain or hardware discomfort was reported, and the patient is back to daily life and sports activities after 6 months of surgical treatment.

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“…The differential diagnosis can be: partial rupture of the ligamentum collaterale laterale (LCL), meniscal cyst or late-ral meniscal tear and distal iliotibial band syndrome 30 . No, or the late diagnosis of the PTFJ dislocation leads to chronic pain in the knee and development of arthrosis PTFJ and because of this it is recommended to compare clinical examination and radiographs with the healthy leg 31 .…”

Section: Disscusionmentioning

confidence: 99%

Modified technique of the treatment for proximal tibiofibular joint dislocation

Gvozdenovic¹,

Gvozdenovic

Obradović³

et al. 2017

VOJNOSANIT PREGL

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Introduction. Dislocation of the proximal tibiofibular joint (PTFJ) is a rare injury. The diagnosis requires an accurate history of the mechanism and symptoms of the injury, and adequate clinical and radiographic evaluation of both knees. In the literature there is no larger series, only several cases of PTFJ dislocation treated by different methods have been published so far. The aim of the study was to present a modified technique for the treatment of the unstable PTFJ that results in faster recovery of the patient. Case report. A 24-year-old football player was injured at the beginning of training; when tackling the ball he felt a sharp pain in his right knee. He was immediately brought to the Emergency Center of Vojvodina and diagnosed with anterolateral dislocation of the PTFJ. Close reduction in general anesthesia was tried but we failed and then open reduction and internal fixation (ORIF) were performed with a single three cortical screw. We preferred not to immobilise the knee after the procedure and immediately employed passive and active exercises in the knee, without bearing weight to the injured leg. After 6 weeks we removed the screw and gave full weight support to the leg and continued physical treatment. Conclusion. In case of acute PTFJ dislocation, the first method of choice is closed reduction in sedation or general anesthesia. If closed reduction fails, ORIF must be performed. ORIF without immobilization and early start of physical therapy lead to the rapid return to sports activities.

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An isolated proximal tibiofibular joint dislocation in a young male playing soccer: a case report

Cited by 22 publications

References 12 publications

Traumatic Proximal Tibiofibular Dislocation

Traumatic Proximal Tibiofibular Dislocation

Proximal tibiofibular joint dislocation treated using flexible and permanent syndesmosis fixation

Modified technique of the treatment for proximal tibiofibular joint dislocation

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