Yercan H.S.Okcu G.Erkan S.Ozic U.2024-07-222024-07-22200609368051http://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19539Pantibial 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.EnglishAccidental FallsAdultHumansKnee InjuriesLigaments, ArticularMaleTibiaadultankle injuryanterior cruciate ligament injuryarthroscopic surgeryarticleautotransplantationbone graftbone screwcase reportdisease severityhumanjoint effusionknee dislocationknee injuryknee ligament injuryknee meniscus ruptureknee radiographyligament injuryligament surgerymalenuclear magnetic resonance imagingpantibial ligament injurypatella tendonphysical examinationpriority journalsubluxationsuturing methodtalustendon grafttraffic accidentArticle10.1007/s00402-005-0011-7