Modified technique of the treatment for proximal tibiofibular joint dislocation
Introduction. Dislocation of the proximal tibiofibular joint (PTFJ) is a rare injury. The diagnosis requires an accurate history of the mechanism and symptoms of the injury, and adequate clinical and radiographic evaluation of both knees. In the literature there is no larger series, only several cas...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2017-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600177G.pdf |
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| author | Gvozdenović Nemanja Gvozdenović Katarina Obradović Mirko Stanković Milan |
| author_facet | Gvozdenović Nemanja Gvozdenović Katarina Obradović Mirko Stanković Milan |
| author_sort | Gvozdenović Nemanja |
| collection | DOAJ |
| description | Introduction. Dislocation of the proximal tibiofibular joint (PTFJ) is a rare injury. The diagnosis requires an accurate history of the mechanism and symptoms of the injury, and adequate clinical and radiographic evaluation of both knees. In the literature there is no larger series, only several cases of PTFJ dislocation treated by different methods have been published so far. The aim of the study was to present a modified technique for the treatment of the unstable PTFJ that results in faster recovery of the patient. Case report. A 24-year-old football player was injured at the beginning of training; when tackling the ball he felt a sharp pain in his right knee. He was immediately brought to the Emergency Center of Vojvodina and diagnosed with anterolateral dislocation of the PTFJ. Close reduction in general anesthesia was tried but we failed and then open reduction and internal fixation (ORIF) were performed with a single three cortical screw. We preferred not to immobilise the knee after the procedure and immediately employed passive and active exercises in the knee, without bearing weight to the injured leg. After 6 weeks we removed the screw and gave full weight support to the leg and continued physical treatment. Conclusion. In case of acute PTFJ dislocation, the first method of choice is closed reduction in sedation or general anesthesia. If closed reduction fails, ORIF must be performed. ORIF without immobilization and early start of physical therapy lead to the rapid return to sports activities |
| format | Article |
| id | doaj-art-c08c9cd3e9454e5981b5cb9fc3510918 |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-c08c9cd3e9454e5981b5cb9fc35109182025-08-20T03:23:23ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202017-01-0174328228610.2298/VSP150318177G0042-84501600177GModified technique of the treatment for proximal tibiofibular joint dislocationGvozdenović Nemanja0Gvozdenović Katarina1Obradović Mirko2Stanković Milan3Clinical Centre of Vojvodina, Department of Orthopedic Surgery and Traumatology, Novi Sad + † Faculty of Medicine, Novi SadFaculty of Medicine, Novi Sad + Clinical Centre of Vojvodina, Department of Radiology, Novi SadClinical Centre of Vojvodina, Department of Orthopedic Surgery and Traumatology, Novi Sad + † Faculty of Medicine, Novi SadClinical Centre of Vojvodina, Department of Orthopedic Surgery and Traumatology, Novi Sad + † Faculty of Medicine, Novi SadIntroduction. Dislocation of the proximal tibiofibular joint (PTFJ) is a rare injury. The diagnosis requires an accurate history of the mechanism and symptoms of the injury, and adequate clinical and radiographic evaluation of both knees. In the literature there is no larger series, only several cases of PTFJ dislocation treated by different methods have been published so far. The aim of the study was to present a modified technique for the treatment of the unstable PTFJ that results in faster recovery of the patient. Case report. A 24-year-old football player was injured at the beginning of training; when tackling the ball he felt a sharp pain in his right knee. He was immediately brought to the Emergency Center of Vojvodina and diagnosed with anterolateral dislocation of the PTFJ. Close reduction in general anesthesia was tried but we failed and then open reduction and internal fixation (ORIF) were performed with a single three cortical screw. We preferred not to immobilise the knee after the procedure and immediately employed passive and active exercises in the knee, without bearing weight to the injured leg. After 6 weeks we removed the screw and gave full weight support to the leg and continued physical treatment. Conclusion. In case of acute PTFJ dislocation, the first method of choice is closed reduction in sedation or general anesthesia. If closed reduction fails, ORIF must be performed. ORIF without immobilization and early start of physical therapy lead to the rapid return to sports activitieshttp://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600177G.pdfknee dislocationjoint instabilitydiagnosisorthopedic procedurestreatment outcome |
| spellingShingle | Gvozdenović Nemanja Gvozdenović Katarina Obradović Mirko Stanković Milan Modified technique of the treatment for proximal tibiofibular joint dislocation Vojnosanitetski Pregled knee dislocation joint instability diagnosis orthopedic procedures treatment outcome |
| title | Modified technique of the treatment for proximal tibiofibular joint dislocation |
| title_full | Modified technique of the treatment for proximal tibiofibular joint dislocation |
| title_fullStr | Modified technique of the treatment for proximal tibiofibular joint dislocation |
| title_full_unstemmed | Modified technique of the treatment for proximal tibiofibular joint dislocation |
| title_short | Modified technique of the treatment for proximal tibiofibular joint dislocation |
| title_sort | modified technique of the treatment for proximal tibiofibular joint dislocation |
| topic | knee dislocation joint instability diagnosis orthopedic procedures treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600177G.pdf |
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