Chronic symptomatic proximal tibiofibular instability in a 3-year-old girl.
A 3-year-old girl was presented with recurrent pain at the right knee and a "snapping" when walking. A free range of motion of both knee joints, stable cruciate and collateral ligaments and a ventrally subluxating and snapping fibula when flexing the knee were found. Due to a longer course of recurrent subluxation and pain, an operation was performed and the tibiofibular ligaments and joint capsule were tightened by sutures. Other operative techniques proposed in the literature are discussed; most of them could lead to deformities or growth disturbances. The reports of tibiofibular instability in the literature are presented. The girl is the youngest patient with idiopathic proximal tibiofibular instability reported in the literature at least in the last 75 years.
Department of Orthopaedic Surgery, Medizinische Hochschule Hannover, Anna-von-Borries-Str. 3, D-30625 Hannover, Germany. thomas.pressel@gmx.de
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Wirth
D002675:Child, Preschool; D002908:Chronic Disease; D005260:Female; D005360:Fibula / Q000503:physiopathology*; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology* / Q000601:surgery; D007719:Knee Joint / Q000473:pathology / Q000503:physiopathology; D008023:Ligaments, Articular / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods*; D013536:Suture Techniques; D013977:Tibia / Q000503:physiopathology*