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Published on: May 20, 2019
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Proximal tibiofibular joint dislocation treated using flexible and permanent syndesmosis fixation
Antonio Carlos Moscon1, Ana Luiza Cabrera Martimbianco2, Aires Duarte Junior3
1Ortocity Serviços Médicos, Sao Paulo, Brazil.
BMJ Case Reports
|April 1, 2018
Summary
This case study details the successful surgical treatment of an isolated proximal tibiofibular dislocation in a soccer player. Prompt intervention and physical therapy led to full recovery and return to sports.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Proximal tibiofibular dislocation is a rare knee injury, often associated with high-energy trauma.
- Accurate diagnosis and timely management are crucial for optimal patient outcomes.
Observation:
- A 40-year-old male athlete sustained an isolated anterolateral proximal tibiofibular dislocation of the left knee during a soccer game.
- Diagnosis was confirmed via physical examination, radiography, and MRI.
Findings:
- Open reduction and internal fixation using flexible and permanent implants were performed.
- Postoperative management included immobilization, progressive weight-bearing over 4 weeks, and a structured physical therapy program.
- Full knee range of motion was restored within 4 weeks, with no reported pain or hardware issues.
Implications:
- This case highlights the efficacy of surgical intervention for isolated proximal tibiofibular dislocations.
- Successful management facilitates a return to high-level athletic activities and daily life.
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