Proximal tibiofibular joint dislocation with Maisonneuve fracture and syndesmosis injury: A case report
Keywords:
maisonneuve fracture,tibiofibular joint dislocation, syndesmosis injury , knee pain , ankle injuriesAbstract
Background: Proximal tibiofibular joint dislocation, a seldom-reported injury often overshadowed in polytrauma cases, remains underexplored. This study presents an unusual case featuring a postero-lateral variant of proximal tibiofibular joint dislocation with additional associated lesions.
Case Presentation: A 66-year-old Italian male, post high-energy car collision, exhibited distinct common peroneal nerve palsy symptoms, revealing an atypical left Maisonneuve fracture with postero-lateral fibular dislocation and tibial mortise diastasis. Surgical intervention, post-stabilization, encompassed exploration and stabilization of the proximal tibiofibular joint and common peroneal nerve. Proximal joint stabilization with 2 cancellous screws and Maisonneuve fracture fixation with a plate followed, along with stabilization of tibial mortise diastasis using a plate and syndesmotic screws. Intra-operative fluoroscopy confirmed anatomical reduction, enabling partial progressive weight-bearing post-transyndesmotic screw removal.
Conclusion: Surgical intervention yielded positive outcomes, including full weight-bearing, pain relief, and restored nerve function at the 12-month follow-up, emphasizing the necessity of a comprehensive surgical approach for optimal recovery
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Copyright (c) 2025 Marco Ganci, Flora Maria Chiara Panvini, Antonio Kory, Rocco Ortuso, Mirko sicurella, Ignazio Prestianni, Enrica Rosalia Cuffaro, Alessio Ferrara, Gianfranco Longo, Giacomo Papotto
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