Isolated acute dislocation of the proximal tibiofibular joint.

Abstract:

:Lesions of knee's lateral side are less common than medial injuries. The anatomy of the lateral ligaments and the presence of additional structures (eg, fibula head) can cause diagnostic problems. Isolated dislocation of the proximal tibiofibular joint is unusual; therefore, it may be overlooked in the emergency department. Many cases are missed due to failure of diagnosis. This type of injury is common in athletes whose sports require twisting motions of the flexed knee (eg, wrestling, parachute jumping, judo, gymnastics, skiing, rugby, football, soccer, track, baseball, basketball, racquetball, and roller-skating). Anterolateral dislocation of the proximal tibiofibular joint is seemingly rare in soccer players, as less than a handful cases have been reported in the literature. The diagnosis can be made by clinical examination, plain knee radiographs, and, sometimes, computed tomography (CT) scanning for further confirmation. Treatment usually consists of closed or open reduction. In complicated cases, however, arthrodesis or resection of the fibular head may be required. This article reports a rare case of acute isolated anterolateral dislocation of the proximal tibiofibular joint in a soccer player and discusses the joint anatomy, types of dislocations, mechanisms of injury, and treatment options.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Iosifidis MI,Giannoulis I,Tsarouhas A,Traios S

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

605

issue

6

eissn

0147-7447

issn

1938-2367

pii

orthopedics.28249

journal_volume

31

pub_type

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