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

Authors : Zied BELLAAJ, Makram ZRİG, İssam ALOUİ, Mustapha KOUBAA, Abderrazek ABİD

Pages : 91-94

Doi:10.33706/jemcr.609224

View : 13 | Download : 5

Publication Date : 2019-07-01

Article Type : Other Papers

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