A rare case of Bosworth fracture-dislocation entrapped within a posterior malleolus fracture (Volkmann fragment): A case report

Bosworth fracture-dislocation is a rare and complicated type of ankle fracture accounting for 1.5 % of all ankle fractures. Diagnosis and treatment are often complex and attention is required to ensure favorable outcomes. We report here a case of a Bosworth fracture-dislocation with incarceration of the distal fibular fracture in a Volkmann's fragment of the in an 18-year-old male who fell from his motorcycle at low velocity causing a supination and external rotation of the foot. The fracture dislocation was initially reduced with a novel minimally invasive technique immediately followed by application of an external fixator and definitive osteosynthesis a few days later. Postoperatively the patient showed excellent functional recovery and was able to return to activities of daily life and high-level sporting activity.