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Concomitant Proximal and Distal Tibiofibular Joint Dislocation Associated With a Tibial Shaft Fracture

Hwang, John S. MD; Sirkin, Michael S. MD; Gala, Zachary BS; Adams, Mark MD; Reilly, Mark C. MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: August 1, 2018 - Volume 26 - Issue 15 - p e329-e332
doi: 10.5435/JAAOS-D-17-00159
Case Report

An association exists between tibial shaft fractures and ankle injuries. In addition, although uncommon, an association between tibial shaft fractures and proximal tibiofibular dislocations has also been established. A review of the previous literature resulted in one case report of a complete proximal and distal tibiofibular joint dislocation without fracture of the tibia or fibula. Here, we discuss a case of a complete proximal and distal tibiofibular syndesmotic complex dislocation associated with a tibial shaft fracture. To the best of our knowledge, this is the first report of this injury pattern associated with a tibial shaft fracture.

From the Department of Orthopaedics, Carolinas Medical Center, Charlotte, NC (Dr. Hwang), and the Department of Orthopaedics, Rutgers New Jersey Medical School, Newark, NJ (Dr. Sirkin, Mr. Gala, Dr. Adams, and Dr. Reilly).

Correspondence to Dr. Hwang: jhwang12@gmail.com

Dr. Sirkin has received royalties and financial or material support from Saunders/Mosby-Elsevier; has served on the Medical/Orthopaedic publications editorial/governing board of the Journal of the American Academy of Orthopaedic Surgeons, Journal of Trauma, and Journal of Orthopaedics and Traumatology; and is a board member or committee member of the AO Board of Trustees, AONA Education Committee, and Orthopaedic Trauma Association. Mr. Gala is a paid employee of Johnson & Johnson. Dr. Reilly is a member of a speakers' bureau or has made paid presentations on behalf or Stryker and is a paid consultant to Stryker. None of the following authors or any of their immediate family members has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Hwang and Dr. Adams.

Copyright 2018 by the American Academy of Orthopaedic Surgeons.
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