Poster 118 Ultrasound‐Guided Proximal Tibiofibular Joint Injection in the Management of Proximal Tibiofibular Joint Arthritis and Instability: A Case Report

Proximal Tibiofibular Joint Arthritis Co-existing With a Medial Meniscal Tear: A Case Report

“…It is commonly associated with gonarthrosis in older patients [ 14 ] and can be an evasive cause of pain after a total knee replacement [ 15 ]. It is rarely reported in younger patients, being either “idiopathic” [ 12 , 14 ] or attributed to injury, repetitive trauma, or overuse [ 16 ]. As in other PTFJ pathologies, pain is usually lateral, but can also be anterior or posterior as in our case.…”

“…As in other PTFJ pathologies, pain is usually lateral, but can also be anterior or posterior as in our case. It can radiate proximally or distally and have associated hamstring tightness [ 14 , 16 ]. Clinical examination is likely to reveal tenderness on palpation of the joint [ 12 , 16 ], especially on compression of the fibular head against the tibia [ 15 ].…”

Fluoroscopically-guided therapeutic injection of the proximal tibiofibular joint in a patient with lateral knee pain

“…To our knowledge, there are no published formal studies documenting the effectiveness of PTFJ therapeutic injection for lateral knee pain nor any description of technique for fluoroscopically guided injection of this joint. A review of the literature does offer a single case report in the form of a poster abstract which described ultrasound guided PTFJ injection of single knees in 2 different patients using corticosteroid based therapeutic cocktails which afforded symptomatic relief for 5 and 2 months, respectively [13] . The report noted that both patients subsequently underwent additional PTFJ therapeutic interventions which included repeat corticosteroid injection in the first patient and platelet rich plasma (PRP) injections in the second.…”