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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...

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Autores principales: Martin-Somoza, Francisco Jose, Picazo, David Ruiz, Cabezuelo, Jesús Amador Martinez, González, Ana Verdejo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
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.
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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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