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J Emerg Med. 2013 May;44(5):e349-52. doi: 10.1016/j.jemermed.2012.11.013. Epub 2013 Jan 26.

Acutely irreducible ankle fracture dislocation: a report of a Bosworth fracture and its management.

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1
Department of Trauma & Orthopaedic Surgery, St. James's Hospital, James's Street, Dublin, Republic of Ireland.

Abstract

BACKGROUND:

Acutely irreducible ankle fractures are uncommon. Irreducibility caused by interposition of soft tissue and entrapment of fracture fragments has been well described. An irreducible ankle fracture due to a locked fibular shaft fragment behind the tibia, a Bosworth fracture, is a rare injury.

CASE REPORT:

We describe a Bosworth fracture in a 19-year-old man subsequent to a fall.

CONCLUSION:

The Bosworth fracture dislocation is a rare injury to the ankle, the correct diagnosis of which depends on awareness of the variant and careful evaluation of the initial clinical and radiographic features. As with our patient, a good outcome is achievable despite the severe nature of these injuries.

PMID:
23357379
DOI:
10.1016/j.jemermed.2012.11.013
[Indexed for MEDLINE]
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