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Bosworth fracture. An atypical case of irreducible ankle fracture-dislocation
An irreducible ankle-fracture dislocation in which the proximal fibular shaft fragment locks behind the posterior tibial tubercle is defined as “The Bosworth injury”. Characteristically, this fracture is generally not reducible using closed methods. A high number of attempts can be counterproductive...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330149/ https://www.ncbi.nlm.nih.gov/pubmed/32637534 http://dx.doi.org/10.1016/j.tcr.2020.100322 |
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author | Martin-Somoza, Francisco Jose Picazo, David Ruiz Cabezuelo, Jesús Amador Martinez González, Ana Verdejo |
author_facet | Martin-Somoza, Francisco Jose Picazo, David Ruiz Cabezuelo, Jesús Amador Martinez González, Ana Verdejo |
author_sort | Martin-Somoza, Francisco Jose |
collection | PubMed |
description | An irreducible ankle-fracture dislocation in which the proximal fibular shaft fragment locks behind the posterior tibial tubercle is defined as “The Bosworth injury”. Characteristically, this fracture is generally not reducible using closed methods. A high number of attempts can be counterproductive to get a good final functional result and it may also lead to the appearance of future complications. Although it is a recognized and published cause of irreducible ankle dislocation, it is an unusual and rare injury. The initial radiological diagnosis is difficult, usually going unnoticed, and it is frequently diagnosed during the surgical act, appreciating the retrotibial position of the proximal fibular fragment. The present report is the first in the medical data to describe a case of Bosworth injury in a 32-week-old pregnant woman. The initial diagnosis went unnoticed. After unsuccessful closed reduction attempt, urgent surgical intervention was performed. |
format | Online Article Text |
id | pubmed-7330149 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-73301492020-07-06 Bosworth fracture. An atypical case of irreducible ankle fracture-dislocation Martin-Somoza, Francisco Jose Picazo, David Ruiz Cabezuelo, Jesús Amador Martinez González, Ana Verdejo Trauma Case Rep Case Report An irreducible ankle-fracture dislocation in which the proximal fibular shaft fragment locks behind the posterior tibial tubercle is defined as “The Bosworth injury”. Characteristically, this fracture is generally not reducible using closed methods. A high number of attempts can be counterproductive to get a good final functional result and it may also lead to the appearance of future complications. Although it is a recognized and published cause of irreducible ankle dislocation, it is an unusual and rare injury. The initial radiological diagnosis is difficult, usually going unnoticed, and it is frequently diagnosed during the surgical act, appreciating the retrotibial position of the proximal fibular fragment. The present report is the first in the medical data to describe a case of Bosworth injury in a 32-week-old pregnant woman. The initial diagnosis went unnoticed. After unsuccessful closed reduction attempt, urgent surgical intervention was performed. Elsevier 2020-06-27 /pmc/articles/PMC7330149/ /pubmed/32637534 http://dx.doi.org/10.1016/j.tcr.2020.100322 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Martin-Somoza, Francisco Jose Picazo, David Ruiz Cabezuelo, Jesús Amador Martinez González, Ana Verdejo Bosworth fracture. An atypical case of irreducible ankle fracture-dislocation |
title | Bosworth fracture. An atypical case of irreducible ankle fracture-dislocation |
title_full | Bosworth fracture. An atypical case of irreducible ankle fracture-dislocation |
title_fullStr | Bosworth fracture. An atypical case of irreducible ankle fracture-dislocation |
title_full_unstemmed | Bosworth fracture. An atypical case of irreducible ankle fracture-dislocation |
title_short | Bosworth fracture. An atypical case of irreducible ankle fracture-dislocation |
title_sort | bosworth fracture. an atypical case of irreducible ankle fracture-dislocation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330149/ https://www.ncbi.nlm.nih.gov/pubmed/32637534 http://dx.doi.org/10.1016/j.tcr.2020.100322 |
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