Inferior dislocation of the proximal tibiofibular joint: a new type of dislocation with poor prognosis.
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.
Nikolaides
A P
AP
3rd Orthopaedic Department, Aristotle University of Thessaloniki, Papageorgiou General Hospital, N Efkarpia, 56403, Thessaloniki, Greece. kanagn@auth.gr
Anagnostidis
K S
KS
Kirkos
J M
JM
Kapetanos
G A
GA
D000063:Accidents, Traffic; D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D017885:Collateral Ligaments / Q000293:injuries / Q000601:surgery; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D031221:Knee Dislocation / Q000601:surgery*; D008297:Male; D009049:Motorcycles; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery; D011379:Prognosis; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome