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Updated: Jun 19, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Acute dislocation of the proximal tibiofibular joint.
Chih-Hsin Hsieh1, Jian-Chih Chen
1Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
The Journal of Orthopaedic and Sports Physical Therapy
|November 3, 2009
Summary
This case study highlights an acute anterolateral dislocation of the fibular head in a young athlete. Prompt diagnosis and reduction are crucial for preventing long-term knee disability.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Radiology
Background:
- Acute knee injuries can present with subtle radiographic findings.
- Proximal tibiofibular joint dislocations are rare but can cause significant morbidity.
Observation:
- A 19-year-old female presented with acute lateral left knee pain after a sports activity.
- Physical examination revealed lateral knee prominence and inability to bear weight.
- Radiographs showed widening of the tibiofibular interosseous space and fibular head malposition.
Findings:
- Anterolateral dislocation of the fibular head was diagnosed.
- Computed tomography confirmed the diagnosis.
- Successful closed reduction was performed, followed by a 6-week protected weight-bearing protocol.
Implications:
- Early detection and immediate reduction of proximal tibiofibular joint dislocations are vital.
- This approach can prevent chronic knee pain and instability.
- Optimal management ensures a return to full daily activities.
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