Abstract
Objective
Detail the imaging findings in patients with proximal tibiofibular instability treated
with surgical stabilization.
Methods
Retrospective analysis of preoperative imaging in patients with clinically confirmed
tibiofibular instability.
Results
Operative fixation of the 16 patients was as follows: 11 using a fiberwire suture
construct and 5 using screw fixation. Proximal tibiofibular ligamentous abnormalities
were present in 100% of acute (< 6 months) and 85.7% of chronic (>6 months) instability cases who underwent MRI.
Conclusion
MRI is sensitive in the evaluation of tibiofibular ligamentous integrity in proximal
tibiofibular instability. Chronic instability should be considered in younger adults
with isolated tibiofibular osteoarthritis.
Keyword
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References
- Recurrent dislocation of the superior tibiofibular joint. A Diagnostic Pitfall in Knee Joint Derangement.J Bone Joint Surg Br. 1968; 50-B: 342-345
- Dislocation of the proximal fibula.Radiology. 1972; 105: 547-549
- Isolated acute dislocation of the proximal tibiofibular joint.J Bone Joint Surg Am. 1973; 55: 177-183
- Proximal tibiofibular dislocation.Emerg Med J. 2006; 23: e33
- An unusual knee injury: isolated tibiofibular dislocation.Emerg Med Australas. 2001; 16: 172-173
- Isolated dislocation of the proximal tibiofibular joint in a long jumper.Br J Sports Med. 2003; 37: 366-367
- Isolated acute dislocation of the proximal tibiofibular joint.Orthopedics. 2008; 31: 605
- Isolated proximal tibiofibular joint dislocation in an elite rugby union player.Br J Sports Med. 2008; 42: 306-307
- Subluxation and dislocation of the proximal tibiofibular joint.J Bone Joint Surg Am. 1974; 56: 145-154
- Instability of the Proximal Tibiofibular Joint.J Am Acad Orthop Surg. 2003; 11: 120-128
- Recurrent luxation of the superior tibio-fibular joint in the adult.Acta Orthop Scand. 1974; 45: 772-777
- Instability of the proximal tibiofibular joint.Acta Orthop Scand. 1978; 49: 621-626
- Recurrent dislocations of the proximal tibiofibular joint.J Bone Joint Surg Am. 1986; 68: 1104-1106
- Delayed presentation: dislocation of the proximal tibiofibular joint after knee dislocation.J Orthop Trauma. 1994; 8: 350-353
- Proximal tibiofibular subluxation relationship to lateral knee pain: a review of proximal tibiofibular joint pathologies.J Orthop Sports Phys Ther. 1995; 21: 248-257
- Proximal tibiofibular joint: anatomic-pathologic-radiographic correlation.Am J Roentgenol. 1978; 131: 133-138
- Bone and joint imaging.3rd ed. Elsevier Saunders, Philadelphia, PA2004: 1150-1151
- The role of radiography and computed tomography in the diagnosis of acute dislocation of the proximal tibiofibular joint.Br J Radiol. 1993; 66: 108-111
- MRI features of tibiofibular dislocation.Eur Radiol. 2006; 16: 1621-1622
- Proximal tibiofibular joint: an often-forgotten cause of lateral knee pain.Am J Roentgenol. 2007; 188: W359-W366
- Lateral stabilizing structures of the knee: functional anatomy and injuries assessed with MR imaging.RadioGraphics. 2000; 20: S91-S102
- The proximal tibiofibular joint: an anatomic study.Clin Orthop Relat Res. 2003; 406: 136-140
- The evaluation of proximal tibiofibular joint for patients with lateral knee pain.Knee. 2004; 11: 307-312
- T2 relaxation time mapping of proximal tibiofibular cartilage by 3-tesla magnetic resonance imaging.Acta Radiol. 2009; 50: 1049-1056
- T1ρ and T2 mapping of the proximal tibiofibular joint in relation to aging and cartilage degeneration.Eur J Radiol. 2012; 81: 2776-2782
- The proximal tibiofibular joint: an anatomical study with clinical and pathological considerations.Int Orthop. 1983; 7: 31-39
- Anatomy of the proximal tibiofibular joint.Knee Surg Sports Traumatol Arthosc. 2006; 14: 241-249
- Anatomic Mapping for Surgical Reconstruction of the Proximal Tibiofibular Ligaments.Orthopedics. 2013; 36: e58-e63
- The structure of the posterolateral aspect of the knee.J Bone Joint Surg Am. 1982; 64: 536-541
- The posterolateral aspect of the knee: anatomy and surgical approach.Am J Sports Med. 1996; 24: 732-739
- Communication between the proximal tibiofibular joint and knee via the subpopliteal recess: MR arthrography with histologic correlation and stratigraphic dissection.Am J Roentgenol. 2008; 191: W44-W51
- Gracilis autograft for recurrent posttraumatic instability of the superior tibiofibular joint.Am J Sports Med. 2010; 38: 2294-2298
- The importance of early diagnosis in the management of proximal tibiofibular dislocation: a 9- and 5-year follow-up of a bilateral case.Knee. 2002; 9: 233-236
- Proximal Tibiofibular Dislocation/Sublaxation.J Orthop Sports Phys Ther. 2003; 38: 87
- Clinical Sports Medicine Update: Traumatic Proximal Tibiofibular Dislocation.Am J Sports Med. 2008; 36: 793-798
- Anatomic reconstruction or temporary screw stabilization of chronic symptomatic anterolateral proximal tibiofibular joint instability.Knee Surg Sports Traumatol Arthrosc. 2011; 19: 1406-1407
- Is Stability of the Proximal Tibiofibular Joint Important in the Multiligament injured Knee?.Clin Orthop Relat Res. 2014; 472: 2291-2697
Article info
Publication history
Published online: January 16, 2016
Accepted:
December 18,
2015
Received in revised form:
December 5,
2015
Received:
October 24,
2015
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.