Proximal tibiofibular joint osteoarthritis is a rare disease most commonly
occurring in the presence of either systemic inflammatory conditions or
severe knee osteoarthritis. Case Presentation: The authors present a case
report of isolated bilateral tibiofibular arthrosis in an otherwise healthy
28-year-old female patient. The patient presented with complaints of lateral
knee pain. Radiographs and magnetic resonance imaging (MRI) revealed bilateral
tibiofibular joint osteoarthritis. Trauma, repetitive use injury, and
rheumatologic causes were excluded. The patient’s pain was initially managed
conservatively, but she subsequently underwent tibiofibular arthrodesis for
progressive pain symptoms.
We review in this report the current literature on tibiofibular joint
osteoarthritis and its treatment. Conclusion: Isolated tibiofibular joint
osteoarthritis is a rare condition that may progress and requires surgical
treatment to achieve optimal clinical outcomes.
Cite this paper
Nakama, G. , Gracitelli, G. , Pochini, A. , Nery, C. and Filho, M. (2013) A case report: Bilateral atraumatic proximal tibiofibular joint osteoarthritis. Case Reports in Clinical Medicine
, 267-271. doi: 10.4236/crcm.2013.24073
 Ogden, J.A. (1974) The anatomy and function of the proximal tibiofibular joint. Clinical Orthopaedics and Related Research, 186-191.
 Semonian, R.H., Denlinger, P.M. and Duggan, R.J. (1995) Proximal tibiofibular subluxation relationship to lateral knee pain: A review of proximal tibiofibular joint pathologies. Journal of Orthopaedic & Sports Physical Therapy, 21, 248-257.
 Turco, V.J. and Spinella, A.J. (1985) Anterolateral dislocation of the head of the fibula in sports. The American Journal of Sports Medicine, 13, 209-215.
 Nadaud, M.C. and Ewing, J.W. (2001) Proximal tibiofibular arthritis: An unusual cause of lateral knee pain. Orthopedics, 24, 397-398.
 Morrison, T.D., Shaer, J.A. and Little, J.E. (2011) Bilateral, atraumatic, proximal tibiofibular joint instability. Orthopedics, 34, 133.
 Owen, R. (1968) Recurrent dislocation of the superior tibio-fibular joint. A diagnostic pitfall in knee joint derangement. The Journal of Bone & Joint Surgery, 50, 342-345.
 Hong, H.P., Chung, H.W., Choi, B.-K., Yoon, Y.C. and Choi, S.H. (2009) Involvement of the proximal tibiofibular joint in ankylosing spondylitis. Acta Radiologica, 50, 418-422. doi:10.1080/02841850902783338
 Oztuna, V., Yildiz, A., Ozer, C., Milcan, A., Kuyurtar, F. and Turgut, A. (2003) Involvement of the proximal tibiofibular joint in osteoarthritis of the knee. The Knee, 10, 347-349. doi:10.1016/S0968-0160(03)00004-8
 Sijbrandij, S. (1978) Instability of the proximal tibio-fibular joint. Acta Orthopaedica Scandinavica, 49, 621-626.
 Ogden, J.A. (1974) Subluxation and dislocation of the proximal tibiofibular joint. The Journal of Bone and Joint Surgery, 56, 145-154.
 Ogden, J.A. (1974) Subluxation of the proximal tibiofibular joint. Clinical Orthopaedics and Related Research, 192-197.
 Takai, S., Yoshino, N., Aso, S. and Hirasawa, Y. (2012) Symptomatic spur formation of bilateral proximal tibiofibular joints. Orthopedics, 24, 843-845.
 Barnett, C.H. and Napier, J.R. (1952) The axis of rotation at the ankle joint in men. Its influence upon the form of the talus and the mobility of the fibula. Journal of Anatomy, 86, 1-9.
 Wootton, J.R., Ashworth, M.J. and MacLaren, C.A. (1995) Neurological complications of high tibial osteotomy— The fibular osteotomy as a causative factor—A clinical and anatomical study. Annals of the Royal College of Surgeons of England, 77, 31-34.
 Miskovsky, S., Kaeding, C. and Weis, L. (2004) Proximal tibiofibular joint ganglion cysts: Excision, recurence, and joint arthrodesis. The American Journal of Sports Medicine, 32, 1022-1028. doi:10.1177/0363546503258706