The forgotten joint: quantifying the anatomy of the proximal tibiofibular joint

Anavian, Jack; Marchetti, Daniel Cole; Moatshe, Gilbert; Slette, Erik; Chahla, Jorge; Brady, Alex W.; Civitarese, David; LaPrade, Robert F.

doi:10.1007/s00167-017-4508-8

Cited by 20 publications

(24 citation statements)

References 20 publications

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“…However, the method used for data collection has been demonstrated to be highly repeatable. 2,15 Two board-certified orthopaedic surgeons with experience in anatomic dissections performed all the dissections and data collection.…”

Section: Discussionmentioning

confidence: 99%

Qualitative and Quantitative Analyses of the Dynamic and Static Stabilizers of the Medial Elbow: An Anatomic Study

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Qualitative and Quantitative Analyses of the Dynamic and Static Stabilizers of the Medial Elbow: An Anatomic Study

et al. 2017

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“…The fibular head is pyramidal in shape and has three anatomical areas, the articular surface for the tibia, the fibular styloid and the lateral tubercle. The lateral tubercle of the fibular head is the site of the attachment of the fibular collateral ligament [36,37]. On the medial side of the knee, the superficial medial collateral ligament has one femoral attachment and two tibial attachments.…”

Section: The Anatomy Of the Proximal Tibiamentioning

confidence: 99%

Revisiting the Schatzker classification of tibial plateau fractures

Kfuri

Schatzker

2018

Injury

184

143

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A B S T R A C TTibial plateau fractures have a broad spectrum of presentations, depending on the mechanism and energy of the trauma. Many classification systems are currently available to describe these injuries. In 1974, Schatzker proposed a classification based on a two-dimensional representation of the fracture. His classification with the six-principles types became one of the most utilized classification systems for tibial plateau fractures. More than four decades after this original publication, we are revisiting each fracture type in the light of information made available by computed tomography, which today comprises a standard tool in assessing articular fractures. The classification we are proposing relies on the fact that the tibial plateau has two anatomical columns, lateral and medial. We are introducing a virtual equator which splits the articular surface in the coronal plane. The equator divides each column into two quadrants, the anterior (A) and the posterior (P). Unicondylar fracture types (I to IV) have now additional modifiers A (anterior) and P (posterior) to describe the exact spatial location of the primary fracture plane. Bicondylar fracture types (V and VI) have the modifiers (A and P) of the main fracture plane for each column, and lateral (L) and medial (M) to denote the column. We are introducing the concept of the main fracture plane. Recognition of the exact location of the principal fracture plane is essential for preoperative planning of patient positioning, surgical approach and for determining where to apply the hardware to achieve stable fixation. The new three-dimensional classification is based on the template of the original Schatzker classification. It covers the mechanism of the injury, the energy of the trauma, the morphologic characteristics of the fracture and its location in three dimensions.

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“…Anavian et al. 13 performed an anatomic study and reported that an approximation for the center points of the posterior ligaments should be placed on the posteromedial aspect of the fibular styloid. Relative to these locations, a fluoroscopic study by Marchetti et al.…”

Section: Discussionmentioning

confidence: 99%

“…First and foremost, anatomic reconstructions have become the most weighted priority for restoring stability, and intraoperative fluoroscopy can be used for ensuring correct tunnel placement for subsequent orientation of the posterior PTFJ structures. Anavian et al 13 . performed an anatomic study and reported that an approximation for the center points of the posterior ligaments should be placed on the posteromedial aspect of the fibular styloid.…”

Section: Discussionmentioning

confidence: 99%

Proximal Tibiofibular Reconstruction in Adolescent Patients

Kennedy

DePhillipo

Moatshe

et al. 2018

Arthroscopy Techniques

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Instability of the proximal tibiofibular joint (PTFJ) can present as frank dislocations, vague symptoms of lateral knee pain, discomfort during activity, or symptoms related to irritation of the common peroneal nerve. An accurate preoperative diagnosis is imperative and should include a trial of taping of the PTFJ for a 4- to 6-week time frame before surgical reconstruction is indicated. In the adolescent population, surgical planning can be complicated by the presence of open physes; therefore, caution must be taken to avoid drilling through or placing screw fixation across the physes. Potential complications include growth arrest and limb length discrepancy. Therefore, the purpose of this Technical Note is to describe the surgical technique for addressing PTFJ instability in adolescent patients.

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The forgotten joint: quantifying the anatomy of the proximal tibiofibular joint

Cited by 20 publications

References 20 publications

Qualitative and Quantitative Analyses of the Dynamic and Static Stabilizers of the Medial Elbow: An Anatomic Study

Qualitative and Quantitative Analyses of the Dynamic and Static Stabilizers of the Medial Elbow: An Anatomic Study

Revisiting the Schatzker classification of tibial plateau fractures

Proximal Tibiofibular Reconstruction in Adolescent Patients

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