1. THE DIFFICULTY OF THE DIAGNOSIS OF AN ISOLATED PROXIMAL TIBIOFIBULAR JOINT DISLOCATION: A CASE REPORT AND REVIEW OF LITERATURE
- Author
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Zied Bellaaj, Makram Zrig, Issam Aloui, Mustapha Koubaa, and Abderrazek Abid
- Subjects
Local pain ,medicine.medical_specialty ,TIBIOFIBULAR JOINT DISLOCATION,emergency service ,business.industry ,medicine.medical_treatment ,Radiography ,Proximal tibiofibular joint ,Surgery ,medicine.anatomical_structure ,Dislocation (syntax) ,medicine ,Ankle ,Presentation (obstetrics) ,business ,Range of motion ,Reduction (orthopedic surgery) - Abstract
lntroduction: An isolated dislocation of the proximal tibiofibular joint is uncommon injury.The diagnosis can be easily missed. in this case report, we expose how avoid missing out on thediagnosis and we expose a special maneuverwhich facilitating the open reduction.Case Report: We report the case ofa 31-year-old man presented at emergency aft er right knee duringfootball game. lniti ally ph ysical examination objectives a moderate swelling and a local pain on the lateral side of the right knee. The anteroposte rior and lateral radiograph s was considered normal. The diagno sis o f lateral meniscal injury was admitt ed. After one week, reexami nation objective a tender bony prominence over the antero lateral aspect of the knee. Radiol ogical investigations confirms the diagnosis of a proximal tibiofibular dislocation. An open reduction was performed. At final follow-up, the patie nt don't presents any complaints, with complete range of motion ofthe knee and the ankle.Conclusion: The pro ximal tibiofibular joint dislocation is rare entity. The early diagno sis canbe missed easily if no awareness of thi sinjury is present. The clinical presentation can mimes a lateral meniscal or lateral ligaments injuries. CT cofirm s d iagnosis if X-r ay are insuffisent.Often, early diagnosis allow s a closed reduction without surgery.
- Published
- 2019