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    Area of Science:

    • Orthopedics
    • Traumatology
    • Radiology

    Background:

    • Bosworth fracture (BF) is a rare and severe ankle injury.
    • Characterized by fibular fragment displacement into the posterior distal tibia.
    • Often associated with posterior malleolus fractures (70% of cases).

    Purpose of the Study:

    • To highlight the characteristics and management of Bosworth fractures.
    • To emphasize the diagnostic and postoperative role of CT scans.
    • To advocate for operative treatment as the standard of care.

    Main Methods:

    • Review of literature on Bosworth fractures.
    • Emphasis on CT examination with 3D reconstructions for diagnosis.
    • Discussion of operative treatment protocols.

    Main Results:

    • Bosworth fractures are underreported, with limited cases in literature.
    • Closed reduction is frequently unsuccessful and carries risks like compartment syndrome.
    • Operative treatment is the recommended management approach.

    Conclusions:

    • Bosworth fractures require advanced imaging like CT scans.
    • Surgical intervention is the standard treatment for Bosworth fractures.
    • Postoperative CT examination is crucial for assessing surgical outcomes.