• J Foot Ankle Surg · Jul 2015

    Case Reports

    An Unusual Ankle Injury: The Bosworth-Pilon Fracture.

    • Nicholas D Peterson, Feisal Shah, and Badri Narayan.
    • Specialty Registrar, Trauma and Orthopaedics, Royal Liverpool University Hospital, Liverpool, United Kingdom. Electronic address: nickpeterson@doctors.org.uk.
    • J Foot Ankle Surg. 2015 Jul 1; 54 (4): 751-3.

    AbstractThe 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.Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

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