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Clinical evaluation of the proximal tibiofibular joint in knees with severe tibiofemoral primary osteoarthritis
The Knee, 06/10/09

Ozcan O et al. – Although degenerative disease of the proximal tibiofibular joint (PTFJ) is commonly associated with degenerative disease of the knee joint, radiographic findings of the PTFJ in patients with severe degenerative knee osteoarthritis and varus malalignment do not correlate with clinical findings.

Methods

Aim was to determien whether there is a relationship between the clinical findings and degeneration of the PTFJ in knees with severe tibiofemoral primary osteoarthritis
60 knees in 34 consecutive pts (31 females and 3 males; mean age 71 yrs; range 61–86 yrs)

Results

Radiographs showed 23 PTFJs were grade IV, 14 were grade III, and 23 were grade II
With regard to the type of PTFJ, 13 joints were horizontal and 47 were oblique
Pain and tenderness were observed in 13 PTFJs upon clinical exam
Lateral hamstring tightness was found in 28 knees
10/28 PTFJs in knees with lateral hamstring tightness were painful during the physical examination
No significant relationship was found between PTFJ exam findings and PTFJ type, PTFJ grade of arthritis, or between hamstring tightness and PTFJ type
However, hamstring tightness was correlated with the grade of arthritis in the PTFJ

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