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Emerg Med Australas ; 31(2): 156-162, 2019 04.
Article in English | MEDLINE | ID: mdl-29671944

ABSTRACT

Proximal tibiofibular joint (PTFJ) dislocations are relatively rare injuries and this paper provides an up-to-date review and practical management approach for the assessment and management of these cases. Isolated PTFJ dislocations are a rare injury, accounting for less than 1% of all knee injuries. Thus, there does not appear to be a clear consensus on definitive management and post-reduction care in the literature. This paper provides a review of the literature, anatomical analysis of the PTFJ in the dislocated state, and a technique for reduction. In the majority of cases, PTFJ dislocations are an injury that can be identified with simple imaging modalities and treated in the ED with manipulation under procedural sedation.


Subject(s)
Fibula/injuries , Knee Dislocation/diagnosis , Knee Dislocation/therapy , Tibia/injuries , Diagnosis, Differential , Diagnostic Imaging , Fibula/anatomy & histology , Football/injuries , Humans , Knee Joint/anatomy & histology , Male , Pain Measurement , Tibia/anatomy & histology , Young Adult
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