Proximal tibiofibular synostosis following tibial nailing

Мандал, Сантану; Coleman, Nigel

doi:10.1016/j.injury.2005.02.041

Cited by 5 publications

(10 citation statements)

References 6 publications

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“…The patient had the screw removed at 48 weeks, and she remained asymptomatic at 5 years. Surgical excision was ruled out while the patient remained asymptomatic [1]. In a second similar case, a 62-year-old female developed asymptomatic proximal TFJ synostosis secondary to an osteotomy when a screw, later removed, penetrated well into the interosseous membrane [2].…”

Section: Discussionmentioning

confidence: 99%

“…Proximal tibiofibular joint (TFJ) synostosis, as a complication of trauma or surgery, is an exceptionally rare occurrence with few reports available in the literature [1–7]. The literature more commonly reports synostosis occurring in the radioulnar joint [8], the distal TFJ [9, 10], or the tibiofibular diaphyseal area [11].…”

Section: Introductionmentioning

confidence: 99%

“…It also highlights congenital abnormalities and immature skeletal development as a common cause of synostosis [4]. In noncongenital cases, the interosseous bone growth is thought to occur from soft tissue damage, hemorrhage, or subperiosteal dissection [1]. Although rare, noncongenital proximal TFJ synostosis has been reported in two cases of excessive screw protrusion [1, 2] and nine nonsurgical cases [3–7].…”

Section: Introductionmentioning

confidence: 99%

“…In noncongenital cases, the interosseous bone growth is thought to occur from soft tissue damage, hemorrhage, or subperiosteal dissection [1]. Although rare, noncongenital proximal TFJ synostosis has been reported in two cases of excessive screw protrusion [1, 2] and nine nonsurgical cases [3–7]. Patients with proximal TFJ synostosis may be asymptomatic or they may present with knee pain or painful joint disruptions (e.g., ankle pain) with treatments ranging from nonoperative to screw removal or bone resections [1–7].…”

Section: Introductionmentioning

confidence: 99%

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Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing

Ebbott

Johnson

Haydel

2019

Case Reports in Orthopedics

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We report the case of a 28-year-old male semiprofessional basketball player who presented to an outside hospital with nonhealing stress fractures for which he underwent tibial intramedullary nailing (IMN). Two weeks after surgery, he developed pain proximal and lateral to the knee. As he returned to play, the pain worsened with jumping and lateral movement and improved with rest. He presented to our hospital one year after the operation with the same unresolved pain. Imaging one year after the surgery revealed proximal tibiofibular joint (TFJ) synostosis aligned with the drill path. Literature review showed that rare noncongenital cases of proximal TFJ synostosis cases were most often treated nonoperatively. However, two cases involved the removal of excessively protruding screws and two cases involved bone resection that resolved painful disruption of other joints, such as the ankle. The current patient had proper implant positioning and no other impacted joints, so he was managed without operative intervention. By the final 16-month postoperative follow-up, his symptoms had resolved completely. Although an unusual occurrence with limited data, we recommend nonoperative management for proximal TFJ synostosis caused by tibial nailing if implants are properly positioned and no other joints are affected.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing

Ebbott

Johnson

Haydel

2019

Case Reports in Orthopedics

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“…The etiology may be injury to the soft tissues, hemorrhage or subperiosteal dissection across the interosseous membrane leading to newbone formation [4]. The postoperative bridgecallus arising from instability of the osteotomyarea forms the tibiofibular synostosis.…”

Section: Case Report Open Accessmentioning

confidence: 99%

An abnormal bony union between leg bones

Umesan¹

2013

IJCRI

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Introduction: An osteology specimen of post traumatic proximal tibiofibular synostosis is discussed along with photographs of the specimen and its Xray and computed tomography scan. Case Report: An osteology specimen of tibia and fibula united in their proximal shafts was studied. The bony bridge between the leg bones was associated with a callus in the tibia. Computed tomography scan showed full grown cortex and marrow cavity inside the synostosis. The inferior tibiofibular joint was disrupted. Conclusion: An osteology specimen of post traumatic proximal tibiofibular synostosis is discussed. Similar occurance in life can lead to peroneal neuropathy and persistent ankle pain.

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