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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11110/22:10427310 RIV/00064190:_____/21:N0000092

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30211 - Orthopaedics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

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

Název periodika

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY

ISSN

0936-8051

e-ISSN

—

Svazek periodika

2021

Číslo periodika v rámci svazku

FEB 2021

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

7

Strana od-do

1-7

Kód UT WoS článku

000618961600001

EID výsledku v databázi Scopus

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