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[Bilateral habitual fibula head dislocation]

J Franke1, C J Wirth, F Gossé

  • 1Orthopädische Klinik, Medizinische Hochschule Hannover.

Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|June 6, 1998
PubMed
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Bilateral habitual anterolateral dislocation of the fibular head, a rare condition, occurred in a young female without trauma. Surgical fixation using biceps tendon achieved successful pain relief.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Human Anatomy

Background:

  • Fibular head dislocation is uncommon, often linked to sports injuries and tibia fractures.
  • Habitual dislocation without trauma is exceptionally rare, with limited existing literature.
  • This case focuses on a unique presentation of bilateral habitual anterolateral fibular head dislocation.

Observation:

  • A 17-year-old female presented with recurrent, spontaneous bilateral anterolateral fibular head dislocations.
  • The patient experienced severe pain with each dislocation episode, occurring multiple times daily.
  • No history of trauma, neurological disorders, or generalized ligamentous laxity was noted.

Findings:

  • The case details bilateral habitual anterolateral dislocation of the fibular head in an adolescent female.

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  • Conservative management was insufficient due to the severity and frequency of symptoms.
  • Surgical intervention involved using a portion of the biceps tendon to stabilize the reduced fibular head.

    • Implications:

    • This case highlights a rare etiology of fibular head instability, emphasizing the need for considering non-traumatic causes.
    • Surgical fixation with biceps tendon autograft offers a potential treatment option for symptomatic habitual fibular head dislocation.
    • Further research into the underlying mechanisms of habitual fibular head dislocation is warranted to improve diagnostic and therapeutic strategies.