Bosworth dislocation without associated fracture: a case rep
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.

Published in the journal Case Reports in Orthopedics, the authors describe a case of a 19-year-old male who 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.

The authors were able to provide good reduction and fixation without requiring removal of the intramedullary nail, and support the use of 2 quadricortical screws as a valid treatment option for the fixation of Bosworth dislocations.

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