THE DIFFICULTY OF THE DIAGNOSIS OF AN ISOLATED PROXIMAL TIBIOFIBULAR JOINT DISLOCATION: A CASE REPORT AND REVIEW OF LITERATURE

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 during football 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 can be 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.

Keywords

• TIBIOFIBULAR JOINT DISLOCATION,emergency service

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