Cecil M L, Fenton P J, Ebraheim N A
Medical College of Ohio, Toledo.
Orthop Rev. 1993 Nov;22(11):1255-8.
Fracture-dislocation of the ankle with fixed displacement of the fibula behind the tibia (Bosworth fracture-dislocation) is infrequently encountered in clinical practice. The diagnosis of this entity is often overlooked due to an inability to correlate clinical findings with roentgenographic data. The mismanagement that follows an incorrect diagnosis may render a patient permanently disabled. The authors report a case of Bosworth fracture-dislocation and describe the steps leading to proper diagnosis and treatment of this rare injury.
踝关节骨折脱位合并腓骨固定性后脱位(博斯沃思骨折脱位)在临床实践中并不常见。由于无法将临床发现与X线数据相关联,这种情况的诊断常常被忽视。错误诊断后的不当处理可能会使患者永久致残。作者报告了一例博斯沃思骨折脱位病例,并描述了对这种罕见损伤进行正确诊断和治疗的步骤。