The proximal tibiofibular joint allows the fibula to rotate and translate slightly during ankle motion to accommodate the distal tibiofibular syndesmotic movement. Its disruption in high ankle sprains allows abnormal fibular rotation. Proximal tibiofibular joint dislocation from violent knee injuries or direct trauma produces a palpable fibular head displacement requiring reduction.
Proximal tibiofibular dislocation presents with a palpable fibular head mass and peroneal nerve symptoms — the CPN wraps around the fibular neck immediately adjacent to the joint. Closed reduction under sedation followed by immobilisation resolves most acute cases.
Fibular head anterior dislocation from violent twisting injury producing peroneal nerve symptoms managed with closed reduction.
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