An unusual rotational injury: Pantibial ligamentous injury

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dc.contributor.authorYercan H.S.
dc.contributor.authorOkcu G.
dc.contributor.authorErkan S.
dc.contributor.authorOzic U.
dc.date.accessioned2024-07-22T08:23:26Z
dc.date.available2024-07-22T08:23:26Z
dc.date.issued2006
dc.description.abstractPantibial ligamentous injury including knee dislocation and tibiotalar joint subluxation is an uncommon severe rotational injury. A 21-year-old male injured his right knee falling from a motorcycle. Physical examination revealed effusion on the right knee and ankle, and posterior translation of the tibia as well. The MRI of the right knee and ankle demonstrated the following findings: a complete disruption of cruciate ligaments, the medial collateral ligament, posteromedial corner injury together with a peripheric tear in the medial meniscus, the ruptured deltoid ligament, ankle syndesmosis space widening (>5 mm) and lateral subluxation of talus. Deltoid ligament of the right ankle was repaired and ankle syndesmosis was fixed with a cortical screw. The PCL and ACL were reconstructed arthroscopically with autogeneous bone-patellar tendon-bone graft. The midsubstance tear of MCL, posteromedial corner and medial meniscus tear were primarily repaired with nonabsorbable sutures. 3 years after the surgery, the patient was called for the final examination. MRI and X-ray findings of the knee and ankle joint demonstrated the continuity of ACL, PCL, MCL, and deltoid ligament. The patient, who is a farmer, can go back to his job and perform his daily activities. We presented a previously unreported case that involves both simultaneous occurrence of knee dislocation and tibiotalar joint subluxation. We used the term "Pantibial ligamentous injury" for this case. © Springer-Verlag 2005.
dc.identifier.DOI-ID10.1007/s00402-005-0011-7
dc.identifier.issn09368051
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19539
dc.language.isoEnglish
dc.subjectAccidental Falls
dc.subjectAdult
dc.subjectHumans
dc.subjectKnee Injuries
dc.subjectLigaments, Articular
dc.subjectMale
dc.subjectTibia
dc.subjectadult
dc.subjectankle injury
dc.subjectanterior cruciate ligament injury
dc.subjectarthroscopic surgery
dc.subjectarticle
dc.subjectautotransplantation
dc.subjectbone graft
dc.subjectbone screw
dc.subjectcase report
dc.subjectdisease severity
dc.subjecthuman
dc.subjectjoint effusion
dc.subjectknee dislocation
dc.subjectknee injury
dc.subjectknee ligament injury
dc.subjectknee meniscus rupture
dc.subjectknee radiography
dc.subjectligament injury
dc.subjectligament surgery
dc.subjectmale
dc.subjectnuclear magnetic resonance imaging
dc.subjectpantibial ligament injury
dc.subjectpatella tendon
dc.subjectphysical examination
dc.subjectpriority journal
dc.subjectsubluxation
dc.subjectsuturing method
dc.subjecttalus
dc.subjecttendon graft
dc.subjecttraffic accident
dc.titleAn unusual rotational injury: Pantibial ligamentous injury
dc.typeArticle

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