[1] The ankle remains externally rotated after the injury, making interpretation of X-rays difficult which can lead to misdiagnosis and incorrect treatment.
[1] The entrapment of an intact fibula behind the tibia was described by Ashhurst and Bromer in 1922, who attributed the description of the mechanism of injury to Huguier's 1848 publication.
[3] The injury involving fibular fracture with posterior dislocation was described by David M. Bosworth in 1947.
[4] Because of a fixed dislocation within the proximal fibular fragment posterior of the lateral ridge of the tibia, Bosworth fracture is typically irreducible using closed techniques.
[5] Complications such as cutaneous necrosis, superficial infection, compartmental syndrome, astragalus avascular necrosis, joint stiffness, superficial fibular nerve lesion, and secondary arthrosis are more common in the Bosworth injury compared to any other type of ankle fracture-dislocation.