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Neglected Proximal Tibiofibular Joint Dislocation Treated With a Cortical Button Suspension Device: A Case Report
1Department of Orthopedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Kyodo General Hospital, Mito, JPN.
Proximal tibiofibular joint dislocation is a rare knee injury often missed in diagnosis. Surgical treatment with a cortical button suspension device showed positive outcomes in a recent case study.
Area of Science:
- Orthopedics
- Traumatology
Background:
- Proximal tibiofibular joint (PTFJ) dislocations are uncommon knee injuries.
- Delayed diagnosis of PTFJ dislocations can lead to chronic pain and peroneal nerve issues.
Observation:
- A 23-year-old male presented with left lateral knee pain after a motorcycle fall.
- Initial assessment missed a posterior lateral PTFJ dislocation due to an associated fibula diaphyseal fracture.
Findings:
- The missed PTFJ dislocation was diagnosed upon detailed review of imaging.
- The patient underwent surgical repair using a cortical button suspension device.
- One-year follow-up revealed no symptoms or complications.
Implications:
- Clinical suspicion and thorough physical examination are crucial for diagnosing PTFJ dislocations.
- Cortical button suspension is a viable surgical option for PTFJ dislocations.
- Early diagnosis and management can prevent long-term complications.
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