AI Article Synopsis

  • Proximal tibiofibular joint dislocation is a rare injury that is often overlooked, especially when accompanied by a fibula fracture.
  • A case involving a 23-year-old male who fell from a motorcycle demonstrated this issue, as his dislocation was initially missed, leading to successful treatment with a cortical button suspension device.
  • Proper diagnosis necessitates thorough physical exams and careful imaging review, as missed dislocations can lead to chronic pain or nerve issues requiring surgical intervention.

Article Abstract

Proximal tibiofibular joint dislocation is a rare knee injury. Hence, its diagnosis is often missed. Herein, we have reported a case of posterior lateral proximal tibiofibular joint dislocation that was initially missed because it was associated with a fibula diaphyseal fracture. Our patient was a 23-year-old male with a complaint of left lateral knee pain and a history of fall from a motorcycle. He was treated with a cortical button suspension device. The patient reported no symptoms or complications at the one-year follow-up. Proximal tibiofibular joint dislocation is easily neglected if not considered as a diagnosis during clinical assessment. Half of these cases present with symptoms such as chronic pain and peroneal nerve palsy that require surgical treatment. A detailed physical examination and close review of imaging findings are important to establish a definitive diagnosis. A cortical bone button suspension device could be the appropriate treatment for cases requiring surgical management.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576975PMC
http://dx.doi.org/10.7759/cureus.45284DOI Listing

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