Distal and Proximal Tibiofibular Dislocation: A Maisonneuve Equivalent. Case Report
Abstract
We present a 32-year-old male patient with simultaneous dislocation of the proximal and distal tibiofibular joint without associated fibula fracture, an atypical injury and with very few cases described in the literature, presented after a sports trauma. By mechanism of trauma and analysis of the injury, it is set up parallel with a Maisonneuve injury. The diagnosis was made by radiographs which showed a diastasis in the proximal tibiofibular joint and an increase in the medial clear space in the ankle. Treatment included closed reduction of the proximal dislocation and an open reduction with internal fixation of the distal dislocation. After twelvemonths of follow-up, the patient showed a complete recovery, without pain or instability, and with a satisfactory American Orthopedic Foot and Ankle Society Score (AOFAS) score, which allowed him to resume his sports and work activity.Downloads
References
Bozkurt M, Yilmaz E, Atlihan D, Tekdemir I, Havitçionlu H, Günal I. The proximal tibiofibular joint: an anatomic study. Clin Orthop 2003;(406):136-40. https://doi.org/10.1097/01.blo.0000030167.56585.2f
Hermans JJ, Beumer A, De Jong TAW, Kleinrensink G. Anatomy of the distal tibiofibular syndesmosis in adults: a pictorial essay with a multimodality approach. J Anat 2010;217(6):633-45. https://doi.org/10.1111/j.1469-7580.2010.01302.x
Bartoníček J, Rammelt S, Tuček M. Maisonneuve fractures of the ankle: A critical analysis review. JBJS Rev 2022;10(2). https://doi.org/10.2106/JBJS.RVW.21.00160
Chang SM, Li HF, Hu SJ, Du SC, Zhang LZ, Xiong WF. A reliable method for intraoperative detection of lateral malleolar malrotation using conventional fluoroscopy. Injury 2019;50(11):2108-12. https://doi.org/10.1016/j.injury.2019.07.006
Kumar G, Sankar B, Anand S, Murali SR. Superior tibiofibular joint disruption—as a variant of Maisonneuve injury. Foot Ankle Surg 2004;10(1):41-3. https://doi.org/10.1016/S1268-7731(03)00104-8.
Levy BA, Vogt KJ, Herrera DA, Cole PA. Maisonneuve fracture equivalent with proximal tibiofibular dislocation: A case report and literature review. J Bone Joint Surg 2006;88(5):1111-6. https:/doi.org/10.2106/JBJS.E.00954
Corrigan C, Asbury B, Alvarez RG, Nowotarski P. Dislocation of the proximal and distal tibiofibular syndesmotic complex without associated fracture: case report. Foot Ankle Int 2011;32(10):1009-11. https://doi.org/10.3113/FAI.2011.1009
Bissuel T, Gaillard F, Dagneaux L, Canovas F. Maisonneuve equivalent injury with proximal tibiofibular joint dislocation: Case report and literature review. J Foot Ankle Surg 2017;56(2):404-7. https://doi.org/10.1053/j.jfas.2016.10.003
Alencar JB, Cavalcante MLC, Pinto LH, Lucena IF, Garrido RJ, Rocha PHM. Lesão variante de Maisonneuve com luxação tibiofibular proximal. Rev Bras Ortop 2019;54(3):339-42. https://doi.org/10.1055/s-0039-1692625
Calvo R, Guiloff R, Calvo-Mena R, Arellano S, Caro P. Luxación tibiofibular proximal diagnóstico y tratamiento.
Acta Ortop Mex 2021;35(6):560-6. https://doi.org/10.35366/105711
Ogden JA. Subluxation and dislocation of the proximal tibiofibular joint. J Bone Joint Surg Am 1974;56(1):145-54. PMID: 4812157
Resnick D, Newell JD, Guerra J, Danzig LA, Niwayama G, Goergen TG. Proximal tibiofibular joint: anatomic-pathologic-radiographic correlation. AJR Am J Roentgenol 1978;131(1):133-8. https://doi.org/10.2214/ajr.131.1.133
Gonzalez-Arroyave D, Arango Duque M, Carrasco Velez F, Corrales Herrera H, Ardila CM. Anterior dislocation of the tibiofibular joint: A case report. Cureus 2023;15(4):e37780. https://doi.org/10.7759/cureus.37780
Kruckeberg BM, Cinque ME, Moatshe G, Marchetti D, DePhillipo NN, Chahla J, et al. Proximal tibiofibular joint instability and treatment approaches: A systematic review of literature. Arthroscopy 2017;33(9):1743-51. https://doi.org/10.1016/j.arthro.2017.03.027
Gardner MJ, Demetrakopoulos D, Briggs SM, Helfet DL, Lorich DG. Malreduction of the tibiofibular syndesmosis in ankle fractures. Foot Ankle Int 2006;27(10):788-92. https://doi.org/10.1177/107110070602701005
Riedel MD, Miller CP, Kwon JY. Augmenting suture-button fixation for Maisonneuve injuries with fibular shortening: Technique tip. Foot Ankle Int 2017;38(10):1146-51. https://doi.org/10.1177/1071100717716487
Kim GB, Park CH. Hybrid fixation for Danis-Weber type C fractures with syndesmosis injury. Foot Ankle Int
;42(2):137-44. https://doi.org/10.1177/1071100720964799
Wiegerinck JJI, Stufkens SA. Deltoid rupture in ankle fractures. Foot Ankle Clin 2021;26(2):361-71.
https://doi.org/10.1016/j.fcl.2021.03.009
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