Dislocation of the proximal tibiofibular joint in association with a tibial shaft fracture: two case reports and a literature review.

Bryce A. Johnson*, Maneesh R. Amancharla, Bradley R Merk

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Dislocation of the proximal tibiofibular joint (PTFJ) in association with a displaced tibial shaft fracture and an intact fibula is an exceedingly rare injury. We present 2 cases of tibia fractures associated with an intact fibula and a PTFJ dislocation. The first case involves a man who sustained a closed spiral fracture of the distal tibial shaft, with an intact fibula, an anterolaterally dislocated PTFJ, and a partial tear of the lateral collateral ligament. The tibia was percutaneously plated, and the PTFJ was reduced and then stabilized with temporary screw fixation. The second case involves a woman who sustained a closed fracture of the tibia in association with a PTFJ dislocation. The tibia was fixed with an intramedullary nail, and the PTFJ was similarly reduced and fixed with a temporary screw. We also provide a brief literature review focusing on classification of PTFJ dislocations, mechanism of injury, associated injuries, and treatment options.

Original languageEnglish (US)
Pages (from-to)439-441
Number of pages3
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume36
Issue number8
StatePublished - Jan 1 2007

ASJC Scopus subject areas

  • Medicine(all)

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