Zusammenfassung
Eine Luxationsfraktur des oberen Sprunggelenks mit Dislokation der Fibula hinter die posterolaterale Tibia wird als Bosworth-Fraktur bezeichnet. Begleitverletzungen, wie Frakturen des posterioren Malleolus oder des Pilon tibiale, sind selten. Bei geschlossen nichtreponierbaren Sprunggelenkluxationen sollte eine Bosworth-Verletzung als mögliche Ursache in Betracht gezogen werden. Der Bericht beschreibt eine Bosworth-Fraktur mit zusätzlicher Impression des posteromedialen Pilon tibiale und Fraktur des posterioren Malleolus, über den Verlauf, die Therapie und das klinische Ergebnis 12 Monate nach Trauma. In der deutschsprachigen Literatur gibt es bisher nur wenige Aufzeichnungen über vergleichbare Pathologien.
Abstract
A luxation fracture of the ankle characterized by a dislocation of the fibula posterior to the tibial tubercle is defined as a Bosworth injury. The Bosworth fracture is a frequently overlooked complex injury of the ankle joint. Associated injuries such as a pilon fracture and posterior malleolus fracture have rarely been reported. In the case of a closed irreducible ankle fracture dislocation, Bosworth injuries should be considered as a potential cause. This article reports the course, treatment and clinical outcome 12 months after trauma of a Bosworth fracture with associated impaction of the posteromedial pilon and fracture of the posterior malleolus. To date, there are only few reports of comparable injuries in the German language literature.
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J. Hasler, A. Antoniadis, G. Gkagkalis, A. Flury und K. Moerenhout geben an, dass kein Interessenkonflikt besteht.
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Hasler, J., Antoniadis, A., Gkagkalis, G. et al. Irreponible Luxation des oberen Sprunggelenks: die Bosworth-Verletzung. Unfallchirurg 122, 992–996 (2019). https://doi.org/10.1007/s00113-019-00725-1
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DOI: https://doi.org/10.1007/s00113-019-00725-1