Dislocation of the proximal tibiofibular joint, do not miss it

Abstract

We present a case of a 45-year-old woman with a right proximal tibiofibular dislocation she sustained after a fall during roller skating. Anteroposterior and lateral radiographs confirmed the diagnosis; there were no other injuries. The dislocation was reduced by direct manipulation after intra-articular infiltration, in our emergency department. The patient was treated with a long, non-weight bearing leg cast for 1 week. After 4 weeks, she had no pain and a full range of motion of the knee.

Proximal tibiofibular joint dislocation: a rare entity

“…Treatment recommendations of PTJD include conservative treatment with brace or a backslab,5 10closed reduction11 12 or open reduction and internal fixation 13 14. In general, open reduction and internal fixation is chosen when closed reduction and internal fixation is failed or in cases of a late diagnosis.…”

Proximal tibiofibular joint dislocation treated using flexible and permanent syndesmosis fixation

“…The patient was treated with closed reduction accomplished by direct manipulation. van Wulfften Palthe et al 2 presented a case of a 45-year-old woman with a diagnosis of isolated proximal tibiofibular dislocation during a roller skating fall. The dislocation was also treated by closed reduction with direct manipulation after an intra-articular anaesthesia infiltration.…”

Multiligamentous Injury of the Knee: MRI Diagnosis and Injury Patterns

“…With knee flexion, there is inherent laxity of the FCL and biceps femoris tendon, resulting in laxity of the proximal tibiofibular joint, rendering it more prone to injury. 83,[89][90][91] The most common mechanism for proximal tibiofibular dislocation is rotation of the lower leg while the knee is at 90 degrees of flexion. Dislocation of the proximal tibiofibular joint may be accurately identified on radiography by closely scrutinizing the relationship of the anteromedial fibular head to the posterolateral tibia.…”

“…Anterior dislocation is the most common type and acutely presents with pain and paresthesias about the expected distribution of the common peroneal nerve. 83,[89][90][91] Conclusion ACL and PCL injuries rarely occur in isolation and are often associated with injuries to the secondary/supporting ligamentous structures that provide both static and dynamic stability against rotational forces. If injuries to these secondary structures are not fully realized at the time of cruciate ligament reconstruction, an isolated cruciate ligament reconstruction may be predisposed to early graft failure.…”