Proximal tibiofibular dislocation
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Tibiofibular dislocation is a condition that is a recognized cause of lateral knee pain in trauma patients and can occur in isolation or as a part of multiple injuries. There is usually prominence of the fibular head on clinical examination, with tenderness to palpation. Radiological investigation can confirm the diagnosis, and in the case or our patient, both plain radiographs and MRI were performed. MRI permitted pre-reduction assessment of the intrinsic knee ligaments, as well as the common peroneal nerve. The dislocated fibular head was successfully relocated under general anaesthesia as a closed reduction.

Case Presentation
A 29-year-old male, who was normally fit and well, presented to the emergency department following a fall playing football. The patient had stood on the ball, with the ball rolling under his weight and twisting his knee.

On examination, there was a prominence over the lateral aspect of the proximal left leg. He was exquisitely tender over the fibular head, with no obvious knee effusion. He was unable to weight bear but was neurovascularly intact, with no features of common peroneal nerve injury. His ankle joint was stable and non-tender, with no suggestion of disruption of the distal tibiofibular joint.

https://goo.gl/xuJcFj
Like
Comment
Share