Martin Benjamin, Corbett James, Littlewood Alastair, Clifton Rupert
Core Surgical Trainee, East of England Deanery, UK.
Specialist Registrar in Trauma and Orthopaedics, East of England Deanery, UK.
BJR Case Rep. 2016 Jul 28;2(3):20150372. doi: 10.1259/bjrcr.20150372. eCollection 2016.
Tibiofibular dislocation is a condition that is a recognized cause of lateral knee pain in trauma patients and can occur in isolation or as a part of multiple injuries. There is usually prominence of the fibular head on clinical examination, with tenderness to palpation. Radiological investigation can confirm the diagnosis, and in the case or our patient, both plain radiographs and MRI were performed. MRI permitted pre-reduction assessment of the intrinsic knee ligaments, as well as the common peroneal nerve. The dislocated fibular head was successfully relocated under general anaesthesia as a closed reduction.
胫腓关节脱位是创伤患者膝外侧疼痛的一个公认病因，可单独发生，也可作为多发伤的一部分。临床检查时，腓骨头通常会突出，触诊时有压痛。影像学检查可确诊，对于我们的患者，进行了X线平片和磁共振成像（MRI）检查。MRI能够在复位前对膝关节固有韧带以及腓总神经进行评估。在全身麻醉下成功进行了闭合复位，使脱位的腓骨头归位。
