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

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F21%3A00001082" target="_blank" >RIV/61383082:_____/21:00001082 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/22:10427310 RIV/00064190:_____/21:N0000092
Result on the web
<a href="https://pubmed.ncbi.nlm.nih.gov/33598758/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/33598758/</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>

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
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Czech description
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Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30211 - Orthopaedics

Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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