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The Bosworth fracture is a rare fracture of the distal fibula with an associated fixed posterior dislocation of the proximal fibular fragment which becomes trapped behind the posterior tibial tubercle. The injury is caused by severe external rotation of the ankle. [1]
The Maisonneuve fracture is a spiral fracture of the proximal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane. There is an associated fracture of the medial malleolus or rupture of the deep deltoid ligament of the ankle .
The Danis-Weber classification categorizes ankle fractures by the level of the fracture of the distal fibula (type A = below the syndesmotic ligament, type B = at its level, type C = above the ligament), with use in assessing injury to the syndesmosis and the interosseous membrane; Other classification schemes:
The Danis–Weber classification (often known just as the Weber classification) is a method of describing ankle fractures. It has three categories: [1] Type A. Fracture of the fibula distal to the syndesmosis (the connection between the distal ends of the tibia and fibula). Typical features: below level of the ankle joint; tibiofibular ...
Bosworth fracture - a fracture with an associated fixed posterior dislocation of the proximal fibular fragment which becomes trapped behind the posterior tibial tubercle. The injury is caused by severe external rotation of the ankle. [4] Volkmann's fracture or Earle's fracture, a fracture of the postero-lateral rim of the distal fibula. [5]
Before the introduction of the rules most patients with ankle injuries would have been imaged. However the vast majority of patients with unclear ankle injuries do not have bone fractures. [1] As a result, many unnecessary X-rays were taken, which was costly, time-consuming and a slight health risk due to radiation exposure.
intra-articular fracture of base of Thumb metacarpal: axial load along metacarpal in a partially flexed thumb: Bennett's fracture at Who Named It? Bosworth fracture: David M. Bosworth: fracture of distal fibula with posterior dislocation of the proximal fibula behind the tibia: severe external rotation of the foot "Bosworth fracture dislocation".
Treatment for joint dislocation is usually by closed reduction, that is, skilled manipulation to return the bones to their normal position. Reduction should only be performed by trained medical professionals, because it can cause injury to soft tissue and/or the nerves and vascular structures around the dislocation.