You are here

Article Text

Article menu
Download PDFPDF
Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Proximal tibiofibular joint dislocation treated using flexible and permanent syndesmosis fixation
  1. Antonio Carlos Moscon1,
  2. Ana Luiza Cabrera Martimbianco2,
  3. Aires Duarte Junior3,
  4. Guilherme Conforto Gracitelli4
  1. 1Ortocity Serviços Médicos, Sao Paulo, Brazil
  2. 2Universidade Metodista de Santos (UNIMES), Santos, SP, Brazil
  3. 3Departamento de Ortopedia e Traumatologia, Faculdade de Ciencias Medicas da Santa Casa de Sao Paulo, Sao Paulo, SP, Brazil
  4. 4Departamento de Ortopedia e Traumatologia, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brazil
  1. Correspondence to Dr Guilherme Conforto Gracitelli, ggracitelli{at}gmail.com

Summary

We present the case of a 40-year-old man who suffered an isolated proximal tibiofibular dislocation of the left knee after a trauma during a soccer game. Physical examination and radiographic imaging revealed an anterolateral dislocation of the proximal fibula. The diagnosis was confirmed by MRI. The treatment choice was open reduction and internal fixation under direct visualisation using flexible and permanent internal fixation. Postoperative treatment includes knee immobilisation during the first week, and partial weight was allowed for 2 weeks progressing to full weight bearing over 4 weeks. The patient started a gradual and progressive physical therapy programme with range of motion exercises, muscle strengthening and gait training. Full knee range of motion was achieved after 4 weeks. No complaint of pain or hardware discomfort was reported, and the patient is back to daily life and sports activities after 6 months of surgical treatment.

  • orthopaedics
  • sports and exercise medicine
  • knee injuries

https://doi.org/10.1136/bcr-2017-222843

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors All authors were involved in the conception and design, acquisition of data or analysis and interpretation of data, drafting the article or revising it critically for important intellectual content and final approval of the version published. GCG: agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.