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Introduction: Dislocations of the proximal tibiofibular joint are an uncommon injury but have been reported in a variety of different athletes. Treatment and rehabilitation ofthese cases have ranged significantly across the reported cases.
Case Report: The present case describes a 23-year-old male professional hockey player who suffered an isolated anterior dislocation of the proximal tibiofibular joint. Spontaneous reduction occurred several days following the injury; however, instability and subluxation continued and screw fixation was required. Ultimately the patient returned to competition at a professional level 3 months following the injury.
Conclusion: The case illustrates the possibility ofpersistent instability of an isolated proximal tibiofibular joint injury, and also the successful treatment of this by fixation with a single screw. This fixation proved to alleviate pain and allow for a return to weight-bearing activities and professional athletic competition.
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http://dx.doi.org/10.13107/jocr.2250-0685.1016 | DOI Listing |
J Orthop Res
September 2025
Department of Orthopedic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, Chaoyang District, China.
Injuries to the distal tibiofibular joint are often associated with ankle fractures, sports-related injuries, or instability, whereas proximal tibiofibular joint injuries are more commonly present with lateral- or posterolateral-compartment lesions of the knee. These conditions may be related to the relative motion between the tibia and fibula; however, precise movement patterns have yet to be fully elucidated. This study analyzes the relative motion of the tibia and fibula in 16 healthy adults (32 bones; 8 males and 8 females) throughout a normal gait cycle.
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
September 2025
Biocruces Bizkaia Health Research Institute, Cruces University Hospital, 48903, Barakaldo, Spain.
Purpose: Combined injuries of the posterolateral corner (PLC) and proximal tibiofibular joint (PTFJ) are uncommon but can lead to significant knee instability if not properly managed. While anatomical reconstruction techniques are well defined for isolated PLC injuries, the optimal strategy for managing associated PTFJ instability remains unclear. This review aims to evaluate surgical approaches and outcomes for combined PLC and PTFJ injuries.
View Article and Find Full Text PDFFoot Ankle Surg
August 2025
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States; Foot and Ankle Division, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton Wellesley Hospital, Harvard Medic
Background And Aims: The Angle Bisector Method uses the cortices of the tibia and fibula as reference points and suggests a syndesmotic fixation trajectory through the bisector of the angle formed by two lines tangent to the anterior and posterior aspects of the tibia and fibula. This study aimed to assess whether the Angle Bisector Method can provide a patient- and level-specific syndesmotic fixation angle that is reproducible, safe, and independent of the surgeon in a cadaveric setting.
Methods: Twelve matched above-knee leg specimens from six cadavers, underwent syndesmotic fixation (using either screws or suture-buttons) at two levels-2 cm and 3.
Front Surg
July 2025
Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy.
This editorial explores recent advances in the understanding and treatment of tibiofibular joint disorders, integrating evidence from surgical, conservative, and regenerative approaches. Highlighting both distal and proximal dysfunctions, the contributions within this Research Topic reveal underrecognised biomechanical roles and therapeutic opportunities. From meta-analytical data on ankle instability to novel strategies in paediatric and osteoarthritic care, this collection advocates for anatomy-guided, patient-specific interventions.
View Article and Find Full Text PDFAME Case Rep
July 2025
Department of Orthopaedic Surgery and Traumatology, Hôpital Cantonal de Fribourg, Fribourg, Switzerland.
Background: Proximal tibiofibular joint instability (PTJI) is a rare condition, particularly in total knee arthroplasty (TKA) revision, with only one prior case reported. This case highlights the importance of considering PTJI in patients with chronic lateral knee pain and instability following TKA and demonstrates a novel stabilization approach for managing this challenging condition.
Case Description: A 73-year-old female with a history of multiple knee surgeries presented to our clinic due to increasing lateral knee pain radiating along the syndesmosis, aggravated by activities like squatting.