Schepers Tim, Hagenaars Tjebbe, Den Hartog Dennis
Department of Surgery-Traumatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
J Foot Ankle Surg. 2012 Jul-Aug;51(4):501-3. doi: 10.1053/j.jfas.2012.04.011. Epub 2012 May 24.
Irreducible fracture dislocations of the ankle are rare and represent true orthopedic emergencies. We present a case of a fracture dislocation that was irreducible owing to a fixed dislocation of the proximal fibular fragment posterior to the lateral ridge of the tibia. This particular type of injury, known as a Bosworth fracture dislocation, was not appreciated on the initial radiographs taken in the emergency room but was identified at urgent surgical management. The trauma mechanism, radiographs, treatment, and relevant published data are discussed in the present report.
踝关节不可复位的骨折脱位较为罕见，是真正的骨科急症。我们报告一例因腓骨近端骨折块固定于胫骨外侧嵴后方脱位而导致不可复位的骨折脱位病例。这种特殊类型的损伤，即博斯沃思骨折脱位，在急诊室最初拍摄的X线片上未被发现，但在紧急手术处理时得以确诊。本报告讨论了其创伤机制、X线片表现、治疗方法及相关已发表的数据。
