An Unusual Ankle Injury: The Bosworth-Pilon Fracture

Abstract The Bosworth injury occurs when the distal fibula becomes entrapped posterior to the posterior tibial tubercle, usually as a result of a supination external rotation injury. This uncommon occurrence is a recognized cause of an irreducible ankle dislocation. A pilon fracture is usually a hig...

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Bibliographic Details
Published inThe Journal of foot and ankle surgery Vol. 54; no. 4; pp. 751 - 753
Main Authors Peterson, Nicholas D., MBChB (Hons), MRCS, Shah, Feisal, MBChB, MRCS, Narayan, Badri, MS, MCh (Orth), FRCS (Tr&Orth)
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2015
Subjects
Accidental Falls
Adult
ankle
Ankle Fractures - diagnostic imaging
Ankle Fractures - etiology
Ankle Fractures - surgery
fibula
Fibula - diagnostic imaging
Fibula - injuries
Fibula - surgery
Fracture Fixation, Internal
Fractures, Comminuted - diagnostic imaging
Fractures, Comminuted - surgery
Humans
Male
Orthopedics
Radiography
surgery
tibia
trauma
trauma
4
ankle
tibia
fibula
surgery
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Summary:Abstract The Bosworth injury occurs when the distal fibula becomes entrapped posterior to the posterior tibial tubercle, usually as a result of a supination external rotation injury. This uncommon occurrence is a recognized cause of an irreducible ankle dislocation. A pilon fracture is usually a high-energy injury caused by the talus being driven upward into the tibial plafond. The resulting bone and soft tissue injuries often require a staged approach to management. The present report is the first in the medical data to describe a Bosworth injury complicating a pilon fracture. We also discuss a management approach for this rare fracture.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2014.09.016