title: Proximal tibiofibular dislocation: a case report and review of literature.
abstract: An isolated dislocation of the proximal tibiofibular joint is uncommon. The mechanism of this injury is usually sports related. We present a case where initial X-rays did not show the tibiofibular joint dislocation conclusively. It was diagnosed after comparative bilateral AP X-rays of the knees were obtained. A closed reduction was performed and followed by unrestricted mobilization after 1 week of rest. A review of the literature was conducted on PubMed MEDLINE. Thirty cases of isolated acute proximal tibiofibular joint dislocations were identified in a search from 1974. The most common direction of the dislocation was anterolateral, and common causes were sports injury or high velocity accident related. More than 75 % of the cases were successfully treated by closed reduction. Complaints, if any, at the last follow-up (averaging 10 months, range 0-108) were, in the worst cases, pain during sporting activities. We advise comparative knee X-rays if there is a presentation of lateral knee pain after injury and diagnosis is uncertain. Closed reduction is usually successful if a dislocation of the proximal tibiofibular joint is diagnosed. There is no standard for after-care, but early mobilization appears safe if there are no other knee injuries.
authors.affiliation: Department of Surgery, Isala klinieken, P.O. box 10400, 8000GK, Zwolle, The Netherlands, r.nieuwe.weme@gmail.com.
authors.forename: R A
authors.initials: RA
authors.lastname: Nieuwe Weme
authors.forename: M P
authors.initials: MP
authors.lastname: Somford
authors.forename: T
authors.initials: T
authors.lastname: Schepers