Instability of the Proximal Tibiofibular Joint
Instability of the Proximal Tibiofibular Joint
复制标题
近端胫腓关节不稳定
DOI：
10.5435/00124635-200303000-00006
复制
发表时间：
2003
影响因子：
3.2
通讯作者：
J. Kuhn
中科院分区：
文献类型：
--
作者：
J. Sekiya;J. Kuhn
&NA;近端胫腓关节的损伤通常见于运动员，他们的运动需要弯曲膝盖的剧烈扭转运动。该关节的不稳定可能发生在前外侧、后内侧或上级方向。对于急性损伤，患者通常抱怨疼痛和膝关节外侧突出。对于急性脱位的患者应尝试闭合复位。如果这是不成功的，开放复位和稳定的关节修复受损的关节囊和韧带可以做。慢性脱位或半脱位的患者报告膝关节外侧疼痛和不稳定，伴有弹响和卡住，这可能与外侧膝关节损伤混淆。半脱位的症状可以通过非手术的物理治疗来治疗，如活动调整、支撑带和膝关节强化。对于慢性疼痛或不稳定的患者，手术选择包括关节固定术、腓骨头切除术和近端胫腓关节囊重建术。
&NA; Injury to the proximal tibiofibular joint is typically seen in athletes whose sports require violent twisting motions of the flexed knee. Instability of this joint may be in the anterolateral, posteromedial, or superior directions. With acute injury, patients usually complain of pain and a prominence in the lateral aspect of the knee. A closed reduction should be attempted in patients with acute dislocation. If this is unsuccessful, open reduction and stabilization of the joint with repair of the injured capsule and ligaments can be done. Patients with chronic dislocation or subluxation report lateral knee pain and instability with popping and catching, which may be confused with lateral meniscal injury. Symptoms of subluxation may be treated nonsurgically with physical therapies such as activity modification, supportive straps, and knee strengthening. For patients with chronic pain or instability, surgical options include arthrodesis, fibular head resection, and proximal tibiofibular joint capsule reconstruction.