Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing
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...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/2423010 |
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| author | David C. Ebbott Alexander J. Johnson Christopher Haydel |
| author_facet | David C. Ebbott Alexander J. Johnson Christopher Haydel |
| author_sort | David C. Ebbott |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3cca4ce39670402892ed32c0afa10f5e |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-3cca4ce39670402892ed32c0afa10f5e2025-02-03T07:25:51ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/24230102423010Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary NailingDavid C. Ebbott0Alexander J. Johnson1Christopher Haydel2Temple University, Department of Orthopaedics and Sports Medicine, 3401, N. Broad St. Zone B, 6th Floor, Philadelphia, PA 19140, USATemple University, Department of Orthopaedics and Sports Medicine, 3401, N. Broad St. Zone B, 6th Floor, Philadelphia, PA 19140, USATemple University, Department of Orthopaedics and Sports Medicine, 3401, N. Broad St. Zone B, 6th Floor, Philadelphia, PA 19140, USAWe 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.http://dx.doi.org/10.1155/2019/2423010 |
| spellingShingle | David C. Ebbott Alexander J. Johnson Christopher Haydel Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing Case Reports in Orthopedics |
| title | Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing |
| title_full | Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing |
| title_fullStr | Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing |
| title_full_unstemmed | Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing |
| title_short | Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing |
| title_sort | nonoperative management of proximal tibiofibular joint synostosis after tibial intramedullary nailing |
| url | http://dx.doi.org/10.1155/2019/2423010 |
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