RESUMO
Triplane fractures of the proximal tibia are less well known than the distal extremity. The diagnosis is based on a good analysis of X-rays and possibly CT images to better plan the management. The authors reports a triplane fracture of the proximal tibial in a 12 year old boy treated by closed reduction and internal fixation. To our knowledge, only a dozen cases have been reported in the literature with generally a good evolution of the fracture.
Assuntos
Fixação Interna de Fraturas/métodos , Radiografia/métodos , Fraturas da Tíbia/diagnóstico por imagem , Criança , Humanos , Masculino , Fraturas da Tíbia/cirurgiaRESUMO
Synovial cyst of the proximal tibiofibular joint is a very rare condition, for which there is no consensus regarding treatment. Two macroscopic forms may be encountered: extraneural cysts and intraneural cysts. We present the cases of two patients who had synovial cysts of proximal tibiofibular joint that caused peroneal nerve palsy. We discussed the special features of synovial cysts and reviewed the literature. We considered the best treatment of synovial cysts originating from proximal tibiofibular joint and causing peroneal nerve palsy to be a total surgical removal as soon as possible after the diagnosis is made. However, follow-up is needed because recurrence is possible. It should be kept in mind that despite surgical treatment the neurological symptoms may not recover.
