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[Traumatic dislocation of superior tibiofibular joint].
Wei-Song Fang1, Cong Luo, Ru-Yi Shao
1Department of Orthopaedics, People's Hospital of Zhuji, Zhuji 311800, Zhejiang, China. fws0307@yahoo.com.cn
Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology
|November 3, 2012
Summary
Traumatic dislocation of the superior tibiofibular joint is often missed but treatable with surgery. Surgical intervention leads to excellent outcomes and functional recovery for most patients.
Area of Science:
- Orthopedic surgery
- Traumatology
- Sports medicine
Background:
- Traumatic dislocation of the superior tibiofibular joint is a rare injury.
- Diagnosis can be challenging, leading to delayed treatment.
- Understanding its characteristics is crucial for effective management.
Purpose of the Study:
- To investigate the clinical characteristics of traumatic superior tibiofibular joint dislocations.
- To evaluate the diagnostic methods and treatment outcomes.
- To emphasize the importance of timely surgical intervention.
Main Methods:
- A retrospective study of 12 patients (2000-2010) with acute traumatic superior tibiofibular joint dislocation.
- Classification based on Ogden criteria.
- Treatment included conservative (1 case) and surgical (11 cases) approaches.
- Outcomes assessed using Lysholm scoring and clinical examination.
Main Results:
- The majority of dislocations were anterolateral (8 cases).
- Surgical treatment yielded excellent results in 11 patients, with good results in 1.
- Patients experienced significant functional recovery and pain relief, with no radiographic evidence of dislocation post-treatment.
Conclusions:
- Traumatic dislocation of the superior tibiofibular joint is frequently misdiagnosed.
- Surgical treatment is the primary and most effective method.
- The prognosis following appropriate surgical management is favorable.
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