Acutely Irreducible Ankle Fracture Dislocation: A Report of a Bosworth Fracture and its Management

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.