Irreponible Luxation des oberen Sprunggelenks: die Bosworth-Verletzung

Hasler, Julian; Antoniadis, Alexander; Gkagkalis, Georgios; Flury, Andreas; Moerenhout, Kevin

doi:10.1007/s00113-019-00725-1

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Little is known about the outcome of BF because the majority of authors followed their patients merely for several weeks or months, and some did not present any results at all ( 1 , 2 , 3 , 5 , 6 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ). Only 14 patients were followed up for 2.5 years, and 10 patients for more than 4 years ( 7 , 11 ...…”

Section: Resultsmentioning

confidence: 99%

“…The results of operative treatment are mixed. Many authors, particularly in earlier publications, report persistent pain even after a short time interval ( 48 ), with limitation of the range of motion or even stiffness of the ankle joint ( 5 , 16 , 18 , 22 , 29 , 33 , 34 , 57 ), and development of degenerative changes ( 1 , 11 , 45 , 50 ). This may reflect the complex nature of the injury with considerable accompanying soft tissue trauma.…”

Section: Resultsmentioning

confidence: 99%

“…We conducted an extensive literature review without time or language restrictions using relevant databases and web browsers (PubMed, Scopus, Web of Science, Google Scholar, and Google). We found a total of 179 cases reported in 72 studies dating from 1947 to 2022 ( 1 , 2 , 3 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ...…”

Section: Literature Reviewmentioning

confidence: 99%

“…A Weber type C fracture of the fibula is observed only rarely in BF. A total of 11 cases (6%) were reported, including four MFs ( 6 , 23 , 50 , 62 ), four fractures in the middle third of the fibula ( 5 , 7 , 57 ), and only one fracture involving the distal third of the fibula ( 40 ) ( Fig. 2 ).…”

Section: Pathoanatomymentioning

confidence: 99%

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Bosworth ankle fracture-dislocation: current concept review

Bartoníček,

Rammelt,

Tuček

2024

EFORT Open Reviews

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Bosworth fracture (BF) is a special type of locked ankle fracture-dislocation, characterized by displacement of a fragment of the fractured fibula from the fibular notch behind the posterior surface of the distal tibia. BF is a complex injury affecting multiple structures of the ankle joint, which is still frequently misjudged even today, potentially leading to severe complications. CT examination, including 3D reconstructions, should be the diagnostic standard in BF, as it provides a complete picture of the fracture pathoanatomy, most prominently the morphology of the frequently associated posterior malleolar fracture. BF requires early reduction of the displaced fibular fragment without repeated attempts on closed reduction. Non-operative treatment of BF almost always fails. The standard treatment procedure is early open reduction internal fixation. Due to the relative severity and paucity of the injury, BF seems to be particularly prone to soft tissue complications, including compartment syndrome. The results of operative treatment are mixed. Many studies report persistent pain even after a short time interval, with limitations of the range of motion or even stiffness of the ankle joint, and development of degenerative changes. Larger studies with long-term results are still missing.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Pathoanatomymentioning

confidence: 99%

See 2 more Smart Citations

Bosworth ankle fracture-dislocation: current concept review

Bartoníček,

Rammelt,

Tuček

2024

EFORT Open Reviews

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

Bartoníček

Rammelt

Kostlivý

2021

Arch Orthop Trauma Surg

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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.

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History of Bosworth fracture-dislocations

Bartoníček¹,

Rammelt

2022

Fuß & Sprunggelenk

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Irreponible Luxation des oberen Sprunggelenks: die Bosworth-Verletzung

Cited by 4 publications

References 20 publications

Bosworth ankle fracture-dislocation: current concept review

Bosworth ankle fracture-dislocation: current concept review

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

History of Bosworth fracture-dislocations

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