title: An Unusual Ankle Injury: The Bosworth-Pilon Fracture.
abstract: The 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.
authors.affiliation: Specialty Registrar, Trauma and Orthopaedics, Royal Liverpool University Hospital, Liverpool, United Kingdom. Electronic address: nickpeterson@doctors.org.uk.
authors.forename: Nicholas D
authors.initials: ND
authors.lastname: Peterson
authors.affiliation: Specialty Registrar, Trauma and Orthopaedics, Royal Liverpool University Hospital, Liverpool, United Kingdom.
authors.forename: Feisal
authors.initials: F
authors.lastname: Shah
authors.affiliation: Consultant, Trauma and Orthopaedics, Royal Liverpool University Hospital, Liverpool, United Kingdom.
authors.forename: Badri
authors.initials: B
authors.lastname: Narayan
mesh_terms: D000058:Accidental Falls; D000328:Adult; D064386:Ankle Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography
keywords: ankle; fibula; surgery; tibia; trauma