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Proximal tibiofibular joint dislocation: a rare entity
  1. Aziz Mamound1,
  2. Rigo Hoencamp1,2,3,
  3. Willem-Maarten Bosman4 and
  4. Michiel Leijnen1
  1. 1 Alrijne Ziekenhuis Locatie Leiderdorp, Leiderdorp, The Netherlands
  2. 2 Leiden University Medical Center, Leiden, The Netherlands
  3. 3 Minsistry of Defence, Utrecht
  4. 4 Department of Surgery, Sint Antonius Ziekenhuis, Nieuwegein, The Netherlands
  1. Correspondence to Rigo Hoencamp, rhoencamp{at}


A 37-year-old woman was diagnosed with an isolated proximal tibiofibular joint dislocation (PTJD) after an accident during gymnastic exercise. The dislocation has a low incidence rate and is often missed in the emergency department as physical and radiology signs are subtle. Treatment consists of closed or open reduction and immobilisation. When it is not recognised it is associated with significant peroneal nerve injury.

  • ligament laxity
  • knee injuries
  • knee laxity
  • trauma

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  • Contributors All persons who meet authorship criteria are listed as authors, and all authors certify that they have. participated sufficiently in the work to take public responsibility for the content, including participation in. the concept, design, analysis, writing, or revision of the manuscript. Furthermore, each author certifies that. this material or similar material has not been and will not be submitted to or published in any other. publication before its appearance in the BMJ Case r. eports.Conception and design of study: AM, WMB, RH. Acquisition of data: ML, WB, AM. Analysis and/or interpretation of data: AM, RH, ML. Drafting the manuscript: AM. revising the manuscript critically for important intellectual content: WMB, RH. Approval of the version of the manuscript to be published: AM, RH, WMB, ML.

  • Funding The authors have not declared a specific grant for this research 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.

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