The superior tibiofibular articulation (also called proximal tibiofibular joint) is an arthrodial

joint A joint or articulation (or articular surface) is the connection made between bones, ossicles, or other hard structures in the body which link an animal's skeletal system into a functional whole.Saladin, Ken. Anatomy & Physiology. 7th ed. McGraw- ...

between the

lateral condyle of tibia The lateral condyle is the lateral portion of the upper extremity of tibia. It serves as the insertion for the biceps femoris muscle (small slip). Most of the tendon of the biceps femoris inserts on the fibula. See also * Gerdy's tubercle * ...

and the head of the

fibula The fibula (: fibulae or fibulas) or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. ...

. The contiguous surfaces of the bones present flat, oval facets covered with

cartilage Cartilage is a resilient and smooth type of connective tissue. Semi-transparent and non-porous, it is usually covered by a tough and fibrous membrane called perichondrium. In tetrapods, it covers and protects the ends of long bones at the joints ...

and connected together by an

articular capsule In anatomy, a joint capsule or articular capsule is an envelope surrounding a synovial joint.anterior Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position pro ...

and

posterior cruciate ligament The posterior cruciate ligament (PCL) is a ligament in each knee of humans and various other animals. It works as a counterpart to the anterior cruciate ligament (ACL). It connects the posterior intercondylar area of the tibia to the Medial condyl ...

s. When the term ''tibiofibular articulation'' is used without a modifier, it refers to the

proximal Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...

, not the

distal Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provi ...

(i.e., inferior) tibiofibular articulation.

Clinical significance

Injuries to the proximal tibiofibular joint are uncommon and usually associated with other injuries to the

lower leg The leg is the entire lower limb (anatomy), limb of the human body, including the foot, thigh or sometimes even the hip or Gluteal muscles, buttock region. The major bones of the leg are the femur (thigh bone), tibia (shin bone), and adjacent f ...

Dislocation In materials science, a dislocation or Taylor's dislocation is a linear crystallographic defect or irregularity within a crystal structure that contains an abrupt change in the arrangement of atoms. The movement of dislocations allow atoms to sli ...

s can be classified into the following five types: * Anterolateral

dislocation In materials science, a dislocation or Taylor's dislocation is a linear crystallographic defect or irregularity within a crystal structure that contains an abrupt change in the arrangement of atoms. The movement of dislocations allow atoms to sli ...

(most common) * Posteromedial dislocation * Superior dislocation (uncommon, associated with shortened tibia fractures or severe ankle injuries) * Inferior dislocation (rare, associated with lengthened tibia fractures or avulsion of the foot, usually extensive soft tissue injury and poor prognosis) * Chronic instability (

subluxation A subluxation is an incomplete or partial dislocation of a joint or organ. According to the World Health Organization, a subluxation is a "significant structural displacement" and is therefore visible on static imaging studies, such as X-rays. ...

) As there are often concomitant fractures and ligamentous injuries (e.g.,

ankle fracture An ankle fracture is a break of one or more of the bones that make up the ankle joint. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. Complications may include an associated high ankle sprain, compar ...

), anterolateral and posteromedial dislocations may be overlooked on first examination, with the potential to cause chronic instability. If the dislocation is recognized and treated properly, prognosis is typically good, although injury to the

common peroneal nerve The common fibular nerve (also known as the common peroneal nerve, external popliteal nerve, or lateral popliteal nerve) is a nerve in the lower leg that provides sensation over the posterolateral part of the leg and the knee joint. It divides a ...

may occur. Inferior dislocations are exceptional as they usually only occur in avulsion (traumatic

amputation Amputation is the removal of a Limb (anatomy), limb or other body part by Physical trauma, trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as cancer, malign ...

) injuries. Subluxation may also occur in diseases with ligamentous laxity (e.g., Ehlers-Danlos Syndrome), muscle weakness (e.g.,

muscular dystrophy Muscular dystrophies (MD) are a genetically and clinically heterogeneous group of rare neuromuscular diseases that cause progressive weakness and breakdown of skeletal muscles over time. The disorders differ as to which muscles are primarily affe ...

), or secondarily to degeneration (e.g., in

rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...

References

Joints {{Portal bar, Anatomy