An irreducible distal fibula dislocation while in-line skating
R S Collins1, D O'Connor, J R Denton
1Department of Orthopaedic Surgery, Catholic Medical Center of Brooklyn and Queens, Jamaica, New York 11432, USA.
Journal of Orthopaedic Trauma
|July 22, 1998
Summary
This case report details a rare Bosworth fracture variation: a distal fibula dislocation without a fracture. Surgical repair with syndesmotic screws successfully restored pain-free ambulation.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Anatomy
Background:
- A Bosworth fracture is a specific type of ankle fracture-dislocation.
- It involves posterior displacement of the distal fibular fragment.
- Variations in fracture patterns require careful diagnostic and treatment considerations.
Observation:
- A patient presented with a unique ankle injury: a distal fibula dislocation without an associated fracture.
- This presentation deviates from the typical Bosworth fracture morphology.
- Clinical examination and imaging were crucial for accurate diagnosis.
Findings:
- The patient underwent successful open reduction and internal fixation.
- Syndesmotic screws were utilized to stabilize the tibiofibular joint.
- Post-operative recovery allowed for a return to pain-free ambulation.
Implications:
- This case highlights the importance of recognizing variations in ankle injuries.
- It demonstrates the efficacy of surgical intervention for non-fracture dislocations.
- Successful management can lead to excellent functional outcomes in complex ankle trauma.
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