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Tibia-fibular Joint Dislocation.

Poznanski SL, Doyle GS - West J Emerg Med (2010)

View Article: PubMed Central - PubMed

Affiliation: University of Wisconsin School of Medicine and Public Health, Division of Emergency Medicine, Madison, WI.

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During his emergency department (ED) evaluation, he had intact peroneal nerve function... A picture of his legs is shown in Figure 1... Proximal tibiofibular joint (PTFJ) dislocation is an unusual injury, occurring in less than 1% of knee injuries... It has been reported in soccer, rugby, and football players, ballet dancers, parachutists and snowboarders., It typically occurs when the knee is slightly flexed and the foot is rotated and plantar flexed... Radiographic findings can be subtle, and diagnosis is fostered when comparison films are obtained... Our radiographs demonstrated widening of the PTFJ of the left knee; comparison to the right (uninjured) knee confirms the diagnosis (Figure 2)... We were unable to reduce the dislocation despite moderate sedation with etomidate... The patient was also seen by orthopedic surgery in the ED... At follow-up two days later, he was noted to have mildly decreased sensation in the peroneal nerve distribution... He was scheduled for surgery, but prior to repair he slipped and felt a “pop. ” Pre-operative radiographs revealed that the dislocation had spontaneously reduced.

No MeSH data available.


Anterior-posterior radiograph showing widening of the left proximal tibiofibular joint
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f2-wjem-11-216: Anterior-posterior radiograph showing widening of the left proximal tibiofibular joint

Mentions: Proximal tibiofibular joint (PTFJ) dislocation is an unusual injury, occurring in less than 1% of knee injuries. It has been reported in soccer, rugby, and football players, ballet dancers, parachutists and snowboarders.1,2 It typically occurs when the knee is slightly flexed and the foot is rotated and plantar flexed.2 Radiographic findings can be subtle, and diagnosis is fostered when comparison films are obtained. When in doubt, computed tomography should be obtained.3 Our radiographs demonstrated widening of the PTFJ of the left knee; comparison to the right (uninjured) knee confirms the diagnosis (Figure 2).


Tibia-fibular Joint Dislocation.

Poznanski SL, Doyle GS - West J Emerg Med (2010)

Anterior-posterior radiograph showing widening of the left proximal tibiofibular joint
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC2908666&req=5

f2-wjem-11-216: Anterior-posterior radiograph showing widening of the left proximal tibiofibular joint
Mentions: Proximal tibiofibular joint (PTFJ) dislocation is an unusual injury, occurring in less than 1% of knee injuries. It has been reported in soccer, rugby, and football players, ballet dancers, parachutists and snowboarders.1,2 It typically occurs when the knee is slightly flexed and the foot is rotated and plantar flexed.2 Radiographic findings can be subtle, and diagnosis is fostered when comparison films are obtained. When in doubt, computed tomography should be obtained.3 Our radiographs demonstrated widening of the PTFJ of the left knee; comparison to the right (uninjured) knee confirms the diagnosis (Figure 2).

View Article: PubMed Central - PubMed

Affiliation: University of Wisconsin School of Medicine and Public Health, Division of Emergency Medicine, Madison, WI.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

During his emergency department (ED) evaluation, he had intact peroneal nerve function... A picture of his legs is shown in Figure 1... Proximal tibiofibular joint (PTFJ) dislocation is an unusual injury, occurring in less than 1% of knee injuries... It has been reported in soccer, rugby, and football players, ballet dancers, parachutists and snowboarders., It typically occurs when the knee is slightly flexed and the foot is rotated and plantar flexed... Radiographic findings can be subtle, and diagnosis is fostered when comparison films are obtained... Our radiographs demonstrated widening of the PTFJ of the left knee; comparison to the right (uninjured) knee confirms the diagnosis (Figure 2)... We were unable to reduce the dislocation despite moderate sedation with etomidate... The patient was also seen by orthopedic surgery in the ED... At follow-up two days later, he was noted to have mildly decreased sensation in the peroneal nerve distribution... He was scheduled for surgery, but prior to repair he slipped and felt a “pop. ” Pre-operative radiographs revealed that the dislocation had spontaneously reduced.

No MeSH data available.