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Bosworth fracture complicated by unrecognized compartment syndrome: a case report and review of the literature

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F22%3A10427310" target="_blank" >RIV/00216208:11110/22:10427310 - isvavai.cz</a>

  • Alternative codes found

    RIV/61383082:_____/21:00001082 RIV/00064190:_____/21:N0000092

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=E8R~GBP9F_" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=E8R~GBP9F_</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/s00402-021-03815-1" target="_blank" >10.1007/s00402-021-03815-1</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Bosworth fracture complicated by unrecognized compartment syndrome: a case report and review of the literature

  • Original language description

    Introduction: Compartment syndrome (CS) is exceedingly rare in ankle fractures. However, the risk of CS development seems to be increased in the presence of a Bosworth fracture-dislocation (BF), a rare variant of locked dislocation of the fibula behind the tibia. Materials and methods: Here, we report the case of a 39-year old man with delayed diagnosis of CS after having sustained a BF and failed attempts on closed reduction. The patient developed a flexion contracture of the hallux necessitating secondary fusion. Results: At 3 years after the injury, the patient was capable of running, but had 10 degrees limitation of ankle dorsiflexion, persisting decreased sensation on the plantar surface and clawing of the lesser toes. A thorough review of the literature revealed nine cases of CS after 167 reported BF resulting in a calculated prevalence of 5.4%. Conclusions: Given the extreme paucity of CS in malleolar fractures, CS in BF has a relatively high prevalence. Risk factors include severe dislocations, repeated attempts on closed reduction, and a long interval to definite surgery. A high index of suspicion is required because delayed diagnosis leads to lasting functional restrictions.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30211 - Orthopaedics

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2022

  • Confidentiality

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

Data specific for result type

  • Name of the periodical

    Archives of Orthopaedic and Trauma Surgery

  • ISSN

    0936-8051

  • e-ISSN

    1434-3916

  • Volume of the periodical

    142

  • Issue of the periodical within the volume

    7

  • Country of publishing house

    DE - GERMANY

  • Number of pages

    7

  • Pages from-to

    1435-1441

  • UT code for WoS article

    000618961600001

  • EID of the result in the Scopus database

    2-s2.0-85100965447