Recurrent idiopathic anterolateral dislocation of the proximal tibiofibular joint: case report and literature review

We present a case of recurring dislocation of the proximal tibiofibular joint without trauma. This problem is rarely noted in the paediatric surgery literature and clinically frequently missed. Pathbreaking are anamnesis and accurate physical examination, argumentative are conventional radiography, CT and MRI. The Ogden classification describes four types of dislocations, whereas the anterolateral dislocation is the most common type. Initial management consists of closed reduction and is often successful if tried immediately. Open reduction and stabilization by posterior soft-tissue reconstruction or temporary fixation of the joint are occasionally required to prevent or combat chronic instability. The aim of this study was to increase the awareness of this unusual lesion, based on an own case report of a recurring proximal tibiofibular joint dislocation and a review of the literature. J Pediatr Orthop B 19: 409-414 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.