2021
DOI: 10.1007/s00402-021-03815-1
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Bosworth fracture complicated by unrecognized compartment syndrome: a case report and review of the literature

Abstract: 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… Show more

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Cited by 11 publications
(13 citation statements)
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References 21 publications
(44 reference statements)
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“…Patients with a displacement of the fibula behind the posterior tibial rim can have associated extra-incisural (Bartoníček/Rammelt) type 1 injury. The displacement between the posterior malleolar fragment and the tibia were associated with type 2 and 3 posterior malleolar fractures [ 11 , 20 ]. Other various soft-tissue causes for irreducibility includes interposition of the deltoid ligament on the medial side, tibialis posterior tendon on the fibular fracture site, in the syndesmotic joint or through the interosseous membrane [ 10 , 11 ] .…”
Section: Discussionmentioning
confidence: 99%
“…Patients with a displacement of the fibula behind the posterior tibial rim can have associated extra-incisural (Bartoníček/Rammelt) type 1 injury. The displacement between the posterior malleolar fragment and the tibia were associated with type 2 and 3 posterior malleolar fractures [ 11 , 20 ]. Other various soft-tissue causes for irreducibility includes interposition of the deltoid ligament on the medial side, tibialis posterior tendon on the fibular fracture site, in the syndesmotic joint or through the interosseous membrane [ 10 , 11 ] .…”
Section: Discussionmentioning
confidence: 99%
“…Other soft tissue complications associated with BF include skin necrosis (38), infection (37), and ankle stiffness, particularly after delayed reduction (7,33,54,70), or deep peroneal palsy after repeated reductions (66). Wang et al (64) described a rare complication after PM reduction and internal fixation from the posterolateral approach when postoperative CT revealed persisting dislocation of the fibula from the FN.…”
Section: Complicationsmentioning
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%
“…To our knowledge, there is only one case in the literature that has documented an isolated distal fibula dislocation without associated fractures or dislocations in the leg, and it required an open reduction [ 4 ]. Delays in reduction or incomplete reduction can increase the chances of complications, which can further delay definitive treatment or lead to additional sequelae such as soft-tissue compromise, infection, post-traumatic arthritis, compartment syndrome, chronic pain, and loss of motion [ 1 , 5 , 6 , 16 ]. There is a significant lack of literature regarding techniques for closed reduction to assist providers in managing these injuries [ 12 , 13 , 15 ].…”
Section: Introductionmentioning
confidence: 99%