Bosworth Dislocation without Associated Fracture
One of the rarest ankle injuries is the Bosworth fracture-dislocation, whereby the distal fibula fractures and is lodged behind the tibia and is often unable to be reduced in a closed fashion. Even more rarely, a Bosworth dislocation without any accompanying fractures may occur. In this case, a 19-y...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2018-01-01
|
Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2018/7284643 |
id |
doaj-ec87b269f1a74f01ad0de0fe1530b7f6 |
---|---|
record_format |
Article |
spelling |
doaj-ec87b269f1a74f01ad0de0fe1530b7f62020-11-24T22:23:17ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/72846437284643Bosworth Dislocation without Associated FractureAustin D. Williams0Matthew Blue1Christian Douthit2Cyrus Caroom3Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center, 3601 4th St. MS 9436, Lubbock, TX 79430, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center, 3601 4th St. MS 9436, Lubbock, TX 79430, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center, 3601 4th St. MS 9436, Lubbock, TX 79430, USADepartment of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center, 3601 4th St. MS 9436, Lubbock, TX 79430, USAOne of the rarest ankle injuries is the Bosworth fracture-dislocation, whereby the distal fibula fractures and is lodged behind the tibia and is often unable to be reduced in a closed fashion. Even more rarely, a Bosworth dislocation without any accompanying fractures may occur. In this case, a 19-year-old male presented with a Bosworth dislocation, with the ipsilateral tibia having previously undergone intramedullary nailing. After closed reduction was attempted, open reduction and fixation was performed, directly reducing the fibula and fixing the unstable syndesmosis with 2 quadricortical screws. Bosworth injuries are rare, yet severe, and should be treated in a timely manner. We were able to provide good reduction and fixation without requiring removal of the intramedullary nail, and we support the use of 2 quadricortical screws as a valid treatment option for the fixation of Bosworth dislocations.http://dx.doi.org/10.1155/2018/7284643 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Austin D. Williams Matthew Blue Christian Douthit Cyrus Caroom |
spellingShingle |
Austin D. Williams Matthew Blue Christian Douthit Cyrus Caroom Bosworth Dislocation without Associated Fracture Case Reports in Orthopedics |
author_facet |
Austin D. Williams Matthew Blue Christian Douthit Cyrus Caroom |
author_sort |
Austin D. Williams |
title |
Bosworth Dislocation without Associated Fracture |
title_short |
Bosworth Dislocation without Associated Fracture |
title_full |
Bosworth Dislocation without Associated Fracture |
title_fullStr |
Bosworth Dislocation without Associated Fracture |
title_full_unstemmed |
Bosworth Dislocation without Associated Fracture |
title_sort |
bosworth dislocation without associated fracture |
publisher |
Hindawi Limited |
series |
Case Reports in Orthopedics |
issn |
2090-6749 2090-6757 |
publishDate |
2018-01-01 |
description |
One of the rarest ankle injuries is the Bosworth fracture-dislocation, whereby the distal fibula fractures and is lodged behind the tibia and is often unable to be reduced in a closed fashion. Even more rarely, a Bosworth dislocation without any accompanying fractures may occur. In this case, a 19-year-old male presented with a Bosworth dislocation, with the ipsilateral tibia having previously undergone intramedullary nailing. After closed reduction was attempted, open reduction and fixation was performed, directly reducing the fibula and fixing the unstable syndesmosis with 2 quadricortical screws. Bosworth injuries are rare, yet severe, and should be treated in a timely manner. We were able to provide good reduction and fixation without requiring removal of the intramedullary nail, and we support the use of 2 quadricortical screws as a valid treatment option for the fixation of Bosworth dislocations. |
url |
http://dx.doi.org/10.1155/2018/7284643 |
work_keys_str_mv |
AT austindwilliams bosworthdislocationwithoutassociatedfracture AT matthewblue bosworthdislocationwithoutassociatedfracture AT christiandouthit bosworthdislocationwithoutassociatedfracture AT cyruscaroom bosworthdislocationwithoutassociatedfracture |
_version_ |
1725765060809195520 |