Superior tibiofibular joint injury

Case
A 25-year-old male player presented with localised lateral knee pain. He thinks that this might have started when he slipped and twisted his knee while training. He was however able to continue to train and did not develop pain until a few days after this injury.
On examination, he was found to have localised tenderness over the superior tibiofibular joint (STFJ) as well as some stiffness ‘gliding’ the joint (when compared with the contralateral side). There was an otherwise normal knee and ankle examination.

Findings
A lateral x-ray series is normal, with no evidence of STFJ instability or knee pathology. A coned, oblique view profiling the STFJ is illustrated here. A focal area of cartilage fissuring is suspected involving the fibular head and tibia at the superior tibiofibular joint. A small amount of T2 intermediate signal is present in the fibular head and the tibia at the SJFJ which likely reflects focal articular cartilage damage. The remainder of the knee, including the lateral meniscus and lateral compartment, is normal.

Discussion
This player was successfully treated with a short period of rest, mobilisation of the STFJ, oral NSAID and taping of the injured joint.  With this regime his symptoms slowly resolved over a three-month period.  He was able to continue to play and train throughout his treatment.

The STFJ is an inherently stable structure.  As a result, injuries to the STFJ are uncommon, accounting for less than 1% of all knee injuries. They can occur in isolation or in combination with other bony and ligamentous injuries such as tibial shaft fractures. The most widely reported injury ‘type’ is a subluxation or dislocation. The joint can also become painful more insidiously (as this case likely illustrates). In this situation it is often hypomobile and can create problems at both the knee and ankle joint.

The most commonly reported symptom is pain related to the lateral knee. Localised tenderness and pain with gliding or moving the joint are the most common examination findings. Given that the common peroneal nerve lies adjacent to the STFJ, patients may also have more diffuse symptoms or signs relating to injury or irritation of this structure.

Important notice
FIFA does not bear any responsibility for the accuracy and completeness of any information provided in the “Radiology Review” features and cannot be held liable with regard to the information provided or any acts or omissions occurring on the basis of this information.

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LishaoTaoJamaleddine@132karthick kIshita BanerjeeMohamed eltaweel Recent comment authors
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Bangoura
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Bangoura

L ARTICULATION TIBIOFUBULAIRE SUPERIEURE ENCORE APPELLEE TIBIO PERONIERE SUPERIEURE MET EN CONTACT LA SURFACE ARTICULAIRE DE LA TETE DU PERONE AVEC LA SURFACE ARTICULAIRE TIBIALE SITUEE A LA PARTIE POSTERIEURE EXTERNE DU TIBIA. L ARTICULATION TIBIOFIBULAIRE PEUT ETRE LA CAUSE DE PLUSIEURS SYNDROMES DONT LA LESION DU MENISQUE EXTERNE ET L ENTORSE DU LLE. AVOIR A L ESPRIT DE FAIRE UN DIAGNOSTIQUE DIFFERENTIEL ENTRE LES LESIONS DU MENISQUE EXT ENTORSE DU LLE TENDINOPATHIE DU BICEPS FEMORAL ET POPLITE NEUROPATHIE DU NERF SCIATIQUE EXAMENS COMPLEMENTAIRES RADIOGRAPHIE STANDARD BILATERALE ET COMPARATIVE EN FACE ET PROFIL(GENOU EN ECCTENTION ET FLEXION DORSALE DE LA… Read more »

Mohamed eltaweel
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DR.Shailendra Patil
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Nice information on Superior tibiofibular joint injury! Keep sharing such information. Knee Surgeon in Mulund : https://boneandjointcare.co.in/total-knee-replacement-surgery/

KARTHICK K
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KARTHICK K

Thank you for Nice information on Superior tibiofibular joint injury! Keep sharing such information. Knee Surgeon in Mulund

Jamaleddine almouhandiz
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Jamaleddine almouhandiz

معلومات مهمة

LishaoTao
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LishaoTao

I appreciate the information. This type of injury I have heard of once in my country.