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Case Reports in Orthopedics
Volume 2018 (2018), Article ID 7284643, 4 pages
https://doi.org/10.1155/2018/7284643
Case Report

Bosworth Dislocation without Associated Fracture

Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center, 3601 4th St. MS 9436, Lubbock, TX 79430, USA

Correspondence should be addressed to Austin D. Williams; moc.liamg@3841wa

Received 8 October 2017; Accepted 7 March 2018; Published 1 April 2018

Academic Editor: Athanassios Papanikolaou

Copyright © 2018 Austin D. Williams et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

One of the rarest ankle injuries is the Bosworth fracture-dislocation, whereby the distal fibula fractures and is lodged behind the tibia and is often unable to be reduced in a closed fashion. Even more rarely, a Bosworth dislocation without any accompanying fractures may occur. In this case, a 19-year-old male presented with a Bosworth dislocation, with the ipsilateral tibia having previously undergone intramedullary nailing. After closed reduction was attempted, open reduction and fixation was performed, directly reducing the fibula and fixing the unstable syndesmosis with 2 quadricortical screws. Bosworth injuries are rare, yet severe, and should be treated in a timely manner. We were able to provide good reduction and fixation without requiring removal of the intramedullary nail, and we support the use of 2 quadricortical screws as a valid treatment option for the fixation of Bosworth dislocations.