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  • Title: Acutely irreducible ankle fracture dislocation: a report of a Bosworth fracture and its management.
    Author: Ellanti P, Hammad Y, Grieve PP.
    Journal: J Emerg Med; 2013 May; 44(5):e349-52. PubMed ID: 23357379.
    Abstract:
    BACKGROUND: Acutely irreducible ankle fractures are uncommon. Irreducibility caused by interposition of soft tissue and entrapment of fracture fragments has been well described. An irreducible ankle fracture due to a locked fibular shaft fragment behind the tibia, a Bosworth fracture, is a rare injury. CASE REPORT: We describe a Bosworth fracture in a 19-year-old man subsequent to a fall. CONCLUSION: The Bosworth fracture dislocation is a rare injury to the ankle, the correct diagnosis of which depends on awareness of the variant and careful evaluation of the initial clinical and radiographic features. As with our patient, a good outcome is achievable despite the severe nature of these injuries.
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