Bosworth fracture: A report of two atypical cases and literature review of 108 cases

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F17%3AN0000133" target="_blank" >RIV/00064190:_____/17:N0000133 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/17:10365451 RIV/61383082:_____/17:00000340

Result on the web

<a href="http://dx.doi.org/10.1016/j.fuspru.2017.02.002" target="_blank" >http://dx.doi.org/10.1016/j.fuspru.2017.02.002</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.fuspru.2017.02.002" target="_blank" >10.1016/j.fuspru.2017.02.002</a>

Result language

angličtina

Original language name

Bosworth fracture: A report of two atypical cases and literature review of 108 cases

Original language description

The Bosworth fracture was originally defined as a bimalleolar fracture-dislocation of the ankle (Weber Type B), with the proximal fibular fragment entrapped behind the posterior tubercle of the distal tibia. Methods (1) A 73-year-old female sustained a Weber type C fibular fracture and posterior malleolus fracture. The distal fragment of the fibula was displaced into a gap between the distal tibia and the posterior malleolus fragment. Open reduction and fixation with two syndesmotic screws was performed. (2) A 51-year-old woman sustained a Weber type B fibular fracture and a posterior tibial pilon fracture (AO Type B). The proximal fibular fragment was entrapped between the anterior part of the fibular notch and the posterior tibial fragment. Treatment consisted of open reduction and plate fixation of the distal fibula and posterior pilon. Results Four years postoperatively, the first patient did not have any subjective complaints. The second patient, two and a half years after the injury, suffered from pain on exercise, limited ankle range of motion and radiographic evidence of osteoarthritis. We found 108 cases in the literature describing Bosworth fractures, Bosworth-like fractures or Bosworth lesions, their common feature being posterior dislocation of the proximal or distal fragment of the fibula, or of an intact fibula, from an intact fibular notch and its entrapment behind the posterior tubercle of the tibia. Some authors also include trimalleolar or pilon fractures with the fibular fragment entrapped in the fracture line between the distal tibia and the posterior malleolus fragment. Conclusions The Bosworth fracture has to be suspected in case of a marked external rotation of the foot with the ap radiograph showing a typical tibiofibular overlap, cortical density at the apex of the medial tibial plafond, and posterior subluxation of the talus the lateral view. CT scanning should be performed. Early open reduction and internal fixation is the treatment of choice. A thorough pre- and intraoperative analysis should address associated injuries to the ligaments, cartilage, muscles, tendons, and vessels around the ankle including the potential risk of development of a compartment syndrome.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

—

OECD FORD branch

30211 - Orthopaedics

Project

<a href="/en/project/NV16-28458A" target="_blank" >NV16-28458A: Trimalleolar fractures of the ankle - CT diagnostics and CT classification of fractures of the posterior rim of distal tibia, operative treatment</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Fuss und Sprunggelenk

ISSN

1619-9987

e-ISSN

1619-9995

Volume of the periodical

15

Issue of the periodical within the volume

2

Country of publishing house

DE - GERMANY

Number of pages

12

Pages from-to

126-137

UT code for WoS article

—

EID of the result in the Scopus database

2-s2.0-85017382746