tailieunhanh - Tổn thương khớp

Tổn thương khớp tibiofibular gần IS Thông thường lên trong môn thể thao đòi hỏi vận động viên của ai chuyển động bạo lực xoắn của đầu gối uốn cong. Sự bất ổn định của doanh tháng này Be In The, hướng anterolateral posteromedial, hoặc cấp trên. Với chấn thương cấp tính, | Instability of the Proximal Tibiofibular Joint Jon K. Sekiya MD and John E. Kuhn MD Abstract Injury to the proximal tibiofibular joint is typically seen in athletes whose sports require violent twisting motions of the flexed knee. Instability of this joint may be in the anterolateral posteromedial or superior directions. With acute injury patients usually complain of pain and a prominence in the lateral aspect of the knee. A closed reduction should be attempted in patients with acute dislocation. If this is unsuccessful open reduction and stabilization of the joint with repair of the injured capsule and ligaments can be done. Patients with chronic dislocation or subluxation report lateral knee pain and instability with popping and catching which may be confused with lateral meniscal injury. Symptoms of subluxation may be treated nonsurgically with physical therapies such as activity modification supportive straps and knee strengthening. For patients with chronic pain or instability surgical options include arthrodesis fibular head resection and proximal tibiofibular joint capsule reconstruction. J Am Acad Orthop Surg 2003 11 120-128 Instability of the proximal tibiofibular joint is rarely reported and descriptions in the literature are few. The clinical scenario ranges from idiopathic subluxation of the joint with no history of trauma to high-energy traumatic dislocations that may be associated with long bone fractures. Injury to the proximal tibiofibular joint is most commonly seen in athletes whose sports require violent twisting motions of the flexed knee such as wrestling parachute jumping judo gymnastics skiing rugby football soccer track baseball basketball racquetball and roller One case of bilateral recurrent proximal tibiofibular dislocation involved an avid jet skier who while skiing remained in the kneeling position with the knees Some authors think that proximal tibiofibular injuries may be more common than previously thought .

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