Lingering Pain and Discomfort Despite Splinting of an Ankle Fracture-Dislocation May Imply a Misdiagnosed Bosworth Injury: A Case Report

Bosworth fracture-dislocation is a challenging injury of the ankle highlighted by the entrapment of the proximal fibula segment behind the distal tibia. The rarity of these fractures frequently leads to unsuccessful closed reduction attempts, due to soft tissue interposition and locked dislocation of the fibula. We present a Bosworth injury initially misdiagnosed as a common Weber B lateral malleolus fracture. Increasing patient discomfort warrants a thorough re-evaluation of X-rays to identify the complexity of a Bosworth injury and ensure effective surgical treatment.