Isolated Dislocation of Proximal Tibiofibular Joint

Objectives: Proximal tibiofibular joint luxation is very rare condition and usually missed in the ED. The aim of the study is if a patient is brought to ED with knee injury, we should keep in mind this pathology. Methods: A 23 year old man was admitted to emergency department with knee pain and restricted movement of the knee during the football match. Physical examination revealed mild swelling and limited ROM on his knee. We took AP and lateral X-rays immediately. We diagnosed the proximal tibiofibular luxation with X-rays. After diagnosing this injury we reducted this joint luxation with closed reduction immediately. Knee joint was immobilized with casting. Magnetic resonance imaging was applied. Casting was removed three weeks later after the diagnosis. Passive range of motion exercises were applied. Results: In the second month examination, there is no pain in his knee joint and the range of motion was full. There was no neoruvascular pathology in the physical examination of the knee. In the MRI findings proximal tibiofibular ligament had mild eudema, there was a contusion area in the lateral plateau and the other knee ligaments was normal. Conclusion: Proximal tibiofibular joint injury is very uncommon pathology, If the pathology is diagnosed on time , it can be treated appropriately to prevent unnecessary complication. The main problem of this injury is correct and timely diagnosis

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Peroneal nerve palsy caused by a synovial cyst of the proximal tibiofibular joint: A case report

Case Studies in Surgery ◽

10.5430/css.v4n2p11 ◽

2018 ◽

Vol 4 (2) ◽

pp. 11

Author(s):

Swantje M. Kruspi ◽

Michael Dietrich

Keyword(s):

Lower Limb ◽

Peroneal Nerve ◽

Nerve Palsy ◽

Rare Condition ◽

Synovial Cyst ◽

Sudden Onset ◽

Proximal Tibiofibular Joint ◽

Peroneal Nerve Palsy ◽

Fast Recovery ◽

Tibiofibular Joint

Peroneal nerve entrapment is the most common entrapment found in the lower limb, even though nerve palsy caused by a synovial cyst of the proximal tibiofibular joint (PTFJ) is a very rare condition. We report the case of a 54-year-old man who developed sudden onset of an incomplete foot droop and therefore presented himself to the emergency room. Further examination showed a compression of the peroneal nerve provoked by a synovial cyst of the PTFJ. Treatment involved puncture of the cyst. The patient showed a complete and fast recovery. We discuss our case with regards to the recent literatures.

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Radiological features of knee joint synovial chondromatosis

Reumatismo ◽

10.4081/reumatismo.2019.1132 ◽

2019 ◽

Vol 71 (2) ◽

pp. 81-84

Author(s):

E. Boninsegna ◽

A. Fassio ◽

M. Testoni ◽

D. Gatti ◽

O. Viapiana ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Knee Joint ◽

Clinical Presentation ◽

Rare Condition ◽

Synovial Chondromatosis ◽

X Rays ◽

Resonance Imaging ◽

Radiological Features ◽

Variable Clinical Presentation

Synovial chondromatosis (SC) is a rare condition with a very variable clinical presentation, thus making the diagnosis not immediate. We report a case of massive primary SC of the knee, properly evaluated with X-rays, ultrasonography and magnetic resonance imaging and successfully treated with an arthroscopic approach.

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A Review of the Vibration Arthrography Technique Applied to the Knee Diagnostics

Applied Sciences ◽

10.3390/app11167337 ◽

2021 ◽

Vol 11 (16) ◽

pp. 7337

Author(s):

Sophie de Tocqueville ◽

Mihaela Marjin ◽

Michal Ruzek

Keyword(s):

Knee Joint ◽

Range Of Motion ◽

Vibrational Analysis ◽

Physiological Signals ◽

Research Progress ◽

X Rays ◽

Non Invasive ◽

Invasive Method ◽

Knee Disorders

When a joint undergoes a range of motion, its constituents rub against each other, causing friction and thus vibrations. The vibration arthrography (VAG) technique consists of detecting, recording, and processing those vibrations to diagnose disorders. This non-invasive method could be an alternative to the currently used arthroscopy or X-rays. It has been revealed to be as accurate as these methods in terms of detecting pathologies such as osteoarthritis (OA). Moreover, vibrational analysis has highlighted some physiological signals associated with the displacement of knee joint components. Thus, vibroarthrography provides further understanding of the internal mechanisms of the knee joint. This paper aims to examine the research progress on the use of this vibration arthrography technique in diagnosing knee disorders.

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Association between Proximal Tibiofibular Joint Morphology and Knee Alignment in Osteoarthritis Patients

Applied Sciences ◽

10.3390/app11052269 ◽

2021 ◽

Vol 11 (5) ◽

pp. 2269

Author(s):

Xin-Zheng Qi ◽

Min Zhang ◽

Mao-Dan Nie ◽

Xiao-Ying Ma ◽

Yi-Chao Luan ◽

...

Keyword(s):

Multinomial Logistic Regression ◽

Articular Surface ◽

Weight Bearing ◽

3D Models ◽

Proximal Tibiofibular Joint ◽

X Rays ◽

Knee Alignment ◽

Multinomial Logistic Regression Analysis ◽

Tibiofibular Joint ◽

Declination Angle

This study aimed to determine whether proximal tibiofibular joint (PTFJ) morphology was related to knee alignment in osteoarthritis (OA) patients. Methods: 67 OA patients were enrolled in this study. The morphology of the PTFJ including articular shape type, articular surface area, joint inclination, relative articular height, and joint declination were measured from 3D models. The knee alignment of each subject was characterized as varus, normal, or valgus according to the femorotibial angle (FTA). The FTA was measured on weight-bearing X-rays. Multinomial logistic regression analysis was used to evaluate the association between PTFJ morphology and knee alignment. Results: there were significant differences between varus, valgus, and normal FTA groups in terms of shape type (p = 0.021), inclination of the PTFJ (p = 0.025), relative articular height (p = 0.019), and PTFJ declination angle (p = 0.011). A higher relative articular height (OR: 0.608, 95% CI: 0.205–0.998, and p = 0.017) and lower declination angle (OR: 0.632, 95% CI: 0.601–0.887, and p =0.019) were found to be associated with an increased likelihood of having a valgus FTA rather than a varus FTA. Conclusion: our results indicate that PTFJ morphology is associated with knee alignment.

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The Effects of Proximal And Distal Tibiofibular Joint Manipulations on Foot Posture, Ankle Range of Motion, and Balance

Case Medical Research ◽

10.31525/ct1-nct04178369 ◽

2019 ◽

Author(s):

Keyword(s):

Range Of Motion ◽

Foot Posture ◽

Tibiofibular Joint

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AB0945 CONTRIBUTION OF MICROBIOLOGICAL AND ANATOMOPATHOLOGICAL EXAMINATIONS IN THE DIAGNOSIS OF SPONTANEOUS PYOGENIC SPONDYLODISCITIS IN ADULTS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.6272 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 1771.3-1771

Author(s):

I. Mahmoud ◽

M. Moalla ◽

A. Ben Tekaya ◽

S. Bouden ◽

R. Tekaya ◽

...

Keyword(s):

Histopathological Examination ◽

Klebsiella Oxytoca ◽

Rare Condition ◽

Blood Cultures ◽

X Rays ◽

Skin Sample ◽

Bacteriological Study ◽

Non Invasive ◽

Pyogenic Spondylodiscitis ◽

Serious Infection

Background:Pyogenic spondylodiscitis (SPD) is a serious infection of an intervertebral disc and/or adjacent vertebrae, that remains a topical problem in rheumatological practice. Early diagnosis and treatment are the only guarantees of a favorable outcome. Clinicians must strive to isolate the responsible bacteria in order to adapt the treatment, and thus reduce the risk of resistance and complications due to SPD itself, but also to the multiplication of probabilistic treatments.Objectives:Our aim was to study the contribution of the different microbiological and anatomopathological examinations in the diagnosis of pyogenic SPD.Methods:It was a descriptive study in a single rheumatology department. Data were collected retrospectively from observations of patients hospitalized in the past 20 years who have been diagnosed with pyogenic SPD. We excluded cases of tuberculous and brucellar SPD from our study because of their completely different histological and microbiological profiles.Results:Twenty-two cases of pyogenic SPD were collected (14M/ 8F). The mean age of the population was 55.9 years [29,80]. A bacteriological survey including at least one cytobacteriological examination of the urine (CBEU), chest X-rays and blood cultures allowed the identification of the bacteria in 16 cases (73%). The most common site were bacteria was identified was blood culture in 7 cases, skin sample and urine collection in 2 cases each. Disco-vertebral puncture and biopsy (DVPB) was performed in 19 patients when there was no bacteria identification and/or when diagnosis of infectious SPD persisted doubtful. On histopathological examination, were described: an infiltrate and/or inflammatory changes without specificity signs in 7 patients and an appearance of chronic pyogenic SPD very likely in 12 patients. Bacteriological study of DVPB fluid or paravertebral abscesses sample helped to isolate bacteria in 4 patients. DVPB or abscesses puncture were contributing by histological and/or bacteriological examination in 12 patients (63%).Infecting bacteria was identified in 14 patients (64%). Gram-negative bacilli (GNB) and staphylococcus aureus were the most frequent germs (7 cases each) including 2 cases of co-infection. GNBs were represented by: Escherichia Coli and Enterobacter Cloacae in 2 cases each, Proteus Mirabilis, Serratia Marcescens and Klebsiella oxytoca in 1 case each. Clostridium clostridioforme and Lactococcus cremoris were isolated in 1 case each. For patients whose etiological investigation remained negative, SPD diagnosis was retained based on imaging (MRI) guided by anamnestic, clinico-biological and histopathological arguments.Conclusion:SPD is a rare condition that needs to be treated rapidly. Once the diagnosis is suspected, bacteria must be isolated before starting any antibiotic therapy. Simple and non-invasive exams as blood cultures, CBUE and chest rays, should be undertaken first. In fact, these simple exams allowed a germ identification in 73% cases in our study. If doubt persist, DVPB could be contributive to the diagnosis.References:NoneDisclosure of Interests:None declared

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AB0867 INCREASED ADIPONECTIN LEVELS ARE ASSOCIATED WITH HIGHER RADIOGRAPHIC SCORES IN THE KNEE JOINT, BUT NOT IN THE HAND JOINT: THE DONG-GU STUDY

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.1677 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 1740.1-1740

Author(s):

J. H. Kang ◽

S. E. Choi ◽

H. Xu ◽

D. J. Park ◽

S. S. Lee

Keyword(s):

Body Mass Index ◽

Knee Joint ◽

Body Mass ◽

Linear Regression Analysis ◽

Joint Space ◽

Serum Adiponectin ◽

Hand Osteoarthritis ◽

X Rays ◽

Subchondral Cyst ◽

The Relationship

Background:Several studies have evaluated the association between serum adiponectin levels and knee and hand osteoarthritis (OA), with mixed results.Objectives:The aim of this study was to investigate the relationship between OA and serum adiponectin levels according to the radiographic features of knee and hand OA.Methods:A total of 2,402 subjects were recruited from the Dong-gu Study. Baseline characteristics were collected via a questionnaire, and X-rays of knee and hand joints were scored by a semi-quantitative grading system. The relationship between serum adiponectin levels and radiographic severity was evaluated by linear regression analysis.Results:Subjects with higher tertiles of serum adiponectin were older and had a lower body mass index than those with lower tertiles. In the knee joint scores, serum adiponectin levels were positively associated with the total score (P<0.001), osteophyte score (P=0.003), and joint space narrowing (JSN) score (P<0.001) among the three tertiles after adjustment for age, sex, body mass index, smoking, alcohol consumption, education, and physical activity. In the hand joint scores, no association was found between serum adiponectin levels and the total score, osteophyte score, JSN score, subchondral cyst score, sclerosis score, erosion score, and malalignment score among the three tertiles after adjustment.Conclusion:In this study, we found that increased adiponectin levels were associated with higher radiographic scores in the knee joint, but not in the hand joint, suggesting different pathophysiologic mechanisms in the development of OA.Disclosure of Interests:None declared

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