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Related Experiment Videos

Delayed presentation: dislocation of the proximal tibiofibular joint after knee dislocation

P Fallon1, N S Virani, D Bell

  • 1Division of Orthopaedic Surgery, Calgary General Hospital, Alberta, Canada.

Journal of Orthopaedic Trauma
|August 1, 1994
PubMed
Summary

A rare anterior dislocation of the proximal tibiofibular joint occurred after knee dislocation treatment. Surgical repair was needed for stability, highlighting the importance of assessing this joint in knee injuries.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Knee dislocations, particularly posterior types, are serious injuries requiring prompt management.
  • The proximal tibiofibular joint (PTFJ) is crucial for knee stability but often overlooked in initial assessments.
  • Delayed diagnosis of PTFJ injuries can lead to chronic pain and instability.

Observation:

  • A unique case of anterior proximal tibiofibular joint (PTFJ) dislocation is presented.
  • This injury was detected one month after closed reduction of a posterior knee dislocation.
  • The patient's symptoms indicated a missed or developing PTFJ injury.

Findings:

  • Open reduction and internal fixation (ORIF) were required to stabilize the dislocated PTFJ.
  • Conservative management (closed reduction) of the primary knee dislocation did not address the associated PTFJ injury.

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  • Surgical intervention confirmed the necessity of direct PTFJ stabilization.

    • Implications:

    • Clinicians must meticulously evaluate the proximal tibiofibular joint (PTFJ) in all knee dislocations, both acute and chronic.
    • Standard knee dislocation protocols should incorporate specific assessments for PTFJ integrity.
    • Failure to recognize PTFJ injuries can result in suboptimal outcomes and necessitate complex surgical repairs.