Dislocation of the superior tibiofibular joint

doi:10.1016/0020-1383(85)90180-9

Injury

Volume 16, Issue 7, July 1985, Pages 494-498

https://doi.org/10.1016/0020-1383(85)90180-9 Get rights and content

Abstract

Derangements of the superior tibiofibular joint are divided into anterolateral, posteromedial and superior dislocations and chronic instability. Two cases of anterolateral dislocation, both needing open reduction, are presented together with a case of posteromedial dislocation.

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Cited by (23)

Proximal Tibiofibular Joint Reconstruction With a Semitendinosus Allograft for Chronic Instability
2023, Arthroscopy Techniques
Whereas acute proximal tibiofibular joint (PTFJ) dislocation may require urgent reduction, chronic or recurrent instability may initially be approached with conservative treatment. Indications for PTFJ reconstruction include persistent lateral knee pain and/or tibiofibular instability for which conservative treatment has failed. Owing to the low incidence of diagnosed isolated PTFJ instability, there is still no consensus regarding the optimal surgical treatment, with an array of options having been previously described. We describe the treatment of isolated PTFJ instability using an anatomic reconstruction with semitendinosus allograft for chronic instability.
Clinical Characteristics and Outcomes After Anatomic Reconstruction of the Proximal Tibiofibular Joint
2020, Arthroscopy - Journal of Arthroscopic and Related Surgery
To assess the most common presenting symptoms, clinical outcomes, and satisfaction after anatomic reconstruction of the proximal tibiofibular joint (PTFJ) with a free semitendinosus autograft.
Consecutive patients with minimum 2-year follow-up after isolated anatomic PTFJ reconstruction were retrospectively reviewed. Patients were evaluated with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and Lysholm Knee Survey score along with a simple numeric patient satisfaction score (0-10, with 10 rated as perfect). Statistical analysis was performed with paired t tests, with P < .05 considered significant.
The study included 16 PTFJ reconstruction surgical procedures in 15 patients with isolated proximal tibiofibular instability verified by an examination under anesthesia (4 reconstructions in male patients vs 12 in female patients); the average age was 37.9 ± 14.6 years, with an average follow-up period of 43.2 months (range, 22-72 months). Of the 13 patients with complete follow-up, 11 (84.6%) were able to return to full desired activities and previous level of sport. Fourteen patients presented with concomitant common peroneal nerve pathology. Two patients had a subsequent complication. No patients needed an additional procedure. Significant (P < .05) improvement occurred across all WOMAC domains and in the WOMAC total score, from 31.4 (±14.9) preoperatively to 15.2 (±15.5) postoperatively. Lysholm Knee Survey scores significantly (P < .05) improved from 51.2 (±17.2) to 75.0 (±18.0). Patients’ overall satisfaction was rated 7.6 (± 2.7) of 10.
At an average follow-up of 43.2 months, anatomic PTFJ reconstruction for isolated PTFJ instability provided improvement in clinical outcomes, a return to activities, and a low risk of complications or need for additional procedures.
PTFJ reconstruction with hamstring tendon graft is a promising surgical treatment that improves patient satisfaction when conservative treatment of PTFJ instability fails.
Level IV, case series.
Associations between proximal tibiofibular joint (PTFJ) types and knee osteoarthritic changes in older adults
2017, Osteoarthritis and Cartilage
Citation Excerpt :
Later studies2,21 confirmed this function and further revealed that the tibia and fibula moved relatively to each other at the PTFJ through the interosseous membrane and the distal tibiofibular syndesmosis. During dorsiflexion of the ankle joint, the proximal fibular was known to have external rotation and slight gliding movements at the PTFJ2,3,20,21. Meanwhile, during flexion of the knee, the proximal fibular moves anteriorly with relative relaxation of the fibular collateral ligament and the biceps femoris while with knee extension, these structures became taut and pull the fibular posteriorly, and at the same moment, the gliding movements were also observed in the anterior–posterior axis at the PTFJ19,21.
To describe the cross-sectional associations between proximal tibiofibular joint (PTFJ) type configurations and knee joint structural abnormalities in older adults.
A total of 967 community-based participants were studied. T1-weighted fat-suppressed magnetic resonance image (MRI) with spoiled gradient recalled echo sequence was utilized to assess the PTFJ type configurations. Knee cartilage volume, cartilage defects, bone marrow lesions and osteophytes were measured. Linear regression and binary logistic regression analyses were used to examine the associations between PTFJ type configurations and knee joint cartilage volume as well as knee structural abnormalities, respectively, after adjustment for potential confounders.
Seven PTFJ types including plane (49.4%), trochoid (31.9%), double trochoid (4.3%), saddle (5.4%), condylar (5.3%), trochlear (3.5%) and ball & socket (0.2%) were observed. Plane type was used as the comparator. In multivariable analyses, irregular joint types (comprising the five uncommon joint types) were associated negatively with cartilage volume, and positively with knee cartilage defects, bone marrow lesions and osteophytes in the lateral (but not medial) compartments. In contrast, trochoid type was only associated with reduced femoral cartilage volume, but not with knee cartilage defects, bone marrow lesions and osteophytes.
Irregular PTFJ joint shapes are associated with osteoarthritic changes in the lateral, but not medial, tibiofemoral compartment in older adults. The causal relationship needs to be examined in future longitudinal studies.
Superior tibiofibular joint disruption - As a variant of Maisonneuve injury
2004, Foot and Ankle Surgery
Evaluation of the Stability and Function of the Tibiofemoral and Tibiofibular Joints
2023, The Art of the Musculoskeletal Physical Exam
Linking the proximal tibiofibular joint to hominid locomotion: A morphometric study of extant species
2023, American Journal of Biological Anthropology

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Dislocation of the superior tibiofibular joint

Abstract

Recurrent luxation of the superior tibiofibular joint in the adult

Acta Orthop. Scand.

Uber eine isolierte Luxation des Linken Wadenbeinköpfchens nach hinten

Zentralbl. Chir.

Dislocation of the upper end of the fibula

Can. Med. Assoc. J.

Isolated acute dislocation of the proximal tibiofibular joint. Case report

J. Bone Joint Surg.

Simple dislocation of the superior tibiofibular joint. Report of two cases

Can. Med. Assoc. J.

Bilateral recurrent dislocations of the superior tibiofibular joint with peronealnerve palsy. A case summary

J. Bone Joint Surg.

Isolated anterior dislocation of the proximal tibiofibular joint

J. Bone Joint Surg.

Dislocation of the head of the fibula by muscular action

Br. Med. J.

Dislocation of the upper end of the fibula

J. Bone Joint Surg.

Peroneal nerve palsy due to superior dislocation of the head of the fibula and shortening of the tibia (Monteggia-like fracture dislocation of the calf)

Acta Orthop. Scand.