Yuan Bin, Ge Bao-Jian, Meng Bai-Yi
Department of Orthopaedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu, China.
Department of Orthopaedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu, China;
Zhongguo Gu Shang. 2017 Oct 25;30(10):972-975. doi: 10.3969/j.issn.1003-0034.2017.10.019.
Dislocation of proximal tibiofibular joint(PTFJ) is relatively infrequent in clinic, it can be either isolated or associated with tibia fracture, fibular fracture and ankle injury and so on. Chronic symptomatic PTFJ instability are easily mixed with meniscal tears. It was easily neglected because of the mild clinical presentation and atypical change on radiography. Early diagnosis and treatment are crucial to prevent chronic knee pain and instability. The paper concluded the anatomy, classification, complication, diagnosis, treatment, clinical effect and insufficient of the dislocation of PTFJ, to direct the diagnosis and treatment of proximal tibiofibular joint dislocation in clinical work.
胫腓近侧关节(PTFJ)脱位在临床上相对少见,可单独发生,也可伴有胫骨骨折、腓骨骨折及踝关节损伤等。慢性症状性PTFJ不稳定易与半月板撕裂相混淆。因其临床表现轻微且X线表现不典型,容易被忽视。早期诊断和治疗对于预防慢性膝关节疼痛和不稳定至关重要。本文总结了PTFJ脱位的解剖、分类、并发症、诊断、治疗、临床疗效及不足之处,以指导临床工作中胫腓近侧关节脱位的诊治。