Abstract
Dislocation of the proximal tibiofibular joint is an unusual injury. We report a patient, who developed inferior proximal tibiofibular dislocation after a severe motorcycle accident. The dislocation was associated with avulsion of the leg, fractures of the fibula and the ankle and neurovascular lesions. The patient was surgically treated and had a good final outcome. Classifications of proximal tibiofibular dislocations did not include inferior dislocation. This type is always associated with avulsion mechanism and has the poorest prognosis.
References
Brana Vigil A, Mieres Barredo P, Montes Mortera S (1983) Traumatic luxation of the proximal tibiofibular joint, superior variety. A case report. Acta Orthop Belg 49(4):479–482
Ellis C (2003) A case of isolated proximal tibiofibular joint dislocation while snowboarding. Emerg Med J 20(6):563–564
Falkenberg P, Nygaard H (1983) Isolated anterior dislocation of the proximal tibiofibular joint. J Bone Joint Surg Br 65(3):310–311
Fallon P, Virani NS, Bell D, Hollinshead R (1994) Delayed presentation: dislocation of the proximal tibiofibular joint after knee dislocation. J Orthop Trauma 8(4):350–353
Gabrion A, Jarde O, Mertl P, de Lestang M (2003) Inferior dislocation of the proximal tibiofibular joint: a report on four cases. Acta Orthop Belg 69(6):522–527
Giachino AA (1986) Recurrent dislocations of the proximal tibiofibular joint. Report of two cases. J Bone Joint Surg Am 68(7):1104–1106
Halbrecht JL Jackson DW (1991) Recurrent dislocation of the proximal tibiofibular joint. Orthop Rev 20(11):957–960
Harrisson R, Hindenach JCR (1959) Dislocation of the upper end of the fibula. J Bone Joint Surg 41B:114–120
Laing AJ, Lenehan B, Ali A, Prasad CV (2003) Isolated dislocation of the proximal tibiofibular joint in a long jumper. Br J Sports Med 37(4):366–367
Miettinen H, Kettunen J, Vaatainen U (1999) Dislocation of the proximal tibiofibular joint. A new method for fixation. Arch Orthop Trauma Surg 119(5–6):358–359
Molitor PJ, Dandy DJ (1989) Permanent anterior dislocation of the proximal tibiofibular joint. J Bone Joint Surg (Br) 71(2):240–241
Ogden JA (1974) Subluxation and dislocation of the proximal tibiofibular joint. J Bone Joint Surg 56A:145–154
Parkes JC 2nd, Zelko RR (1973) Isolated acute dislocation of the proximal tibiofibular joint. Case report. J Bone Joint Surg Am 55(1):177–183
Rajkumar P, Schmitgen GF (2002) A new surgical treatment of an acute dislocation of the proximal tibiofibular joint. Int J Clin Pract 56(7):556–557
Shapiro GS, Fanton GS, Dillingham MF (1993) Reconstruction for recurrent dislocation of the proximal tibiofibular joint. A new technique. Orthop Rev 22(11):1229–1232
Thomason PA, Linson MA (1986) Isolated dislocation of the proximal tibiofibular joint. J Trauma 26(2):192–195
Veth RP, Klasen HJ Kingma L (1981) Traumatic instability of the proximal tibiofibular joint. Injury 13(2):159–164
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Nikolaides, A.P., Anagnostidis, K.S., Kirkos, J.M. et al. Inferior dislocation of the proximal tibiofibular joint: a new type of dislocation with poor prognosis. Arch Orthop Trauma Surg 127, 933–936 (2007). https://doi.org/10.1007/s00402-007-0472-y
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DOI: https://doi.org/10.1007/s00402-007-0472-y