Acute pseudoaneurysm of the femoral artery after repeated trauma in full-contact karate practice: Figure 1

Doiz, Esther; Garrido, Felipe; Conejero, Rosario; Garcia, P.; Fernández, E. Fernández

doi:10.1136/bjsm.2007.040618

Cited by 11 publications

(5 citation statements)

References 8 publications

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“…However, the patient was asymptomatic before the injury and practiced full-contact karate as a daily sports activity. Full-contact karate 8,9 is a combat sport similar to kickboxing. Players wear helmets and gloves, and it differs from traditional karate in that the punches and kicks actually hit the opponent.…”

Section: Discussionmentioning

confidence: 99%

Hegemann's Disease Detected with a Traumatic Olecranon Fracture

Morito

Kida

Takatsuji

et al. 2022

JBJS Case Connector

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Case: We describe a case of Hegemann's disease in a 10-year-old boy practicing karate. The disease was discovered by chance when evaluating a traumatic olecranon fracture. Radiography showed not only olecranon fracture but also a shortening of the epiphysis of the humeral trochlea and a segmental lesion with sclerosis. The trochlea lesion was considered asymptomatic Hegemann's disease. After the olecranon healed conservatively, the patient resumed karate activities and underwent follow-up radiography. The trochlea lesion gradually normalized after 2 years without symptoms. Conclusions: Regardless of the initial alarming radiographic findings, the lesion gradually healed, and the patient was able to return to sports activities.

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Section: Discussionmentioning

confidence: 99%

Hegemann's Disease Detected with a Traumatic Olecranon Fracture

Morito

Kida

Takatsuji

et al. 2022

JBJS Case Connector

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“…PSA may also rupture and bleeding due to trauma or increased internal pressure. 19 Therefore, once PSA appears, it should be treated promptly to prevent the severe disease.…”

Section: Discussionmentioning

confidence: 99%

Thrombin injection under B-flow and ultrasound guidance: A safe and effective treatment of pseudoaneurysms

Deng

Yuan

et al. 2022

Vascular

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Purpose To evaluate the method of thrombin injection under B-flow and ultrasound guidance (BUGTI) for the treatment of pseudoaneurysms. Materials and methods Twenty-one patients suffering from pseudoaneurysm (PSA) were retrospectively reviewed at the First Affiliated Hospital of Nanjing Medical University in Nanjing, China, from January 2018 to August 2019. The patients were treated using an ultrasound-guided injection of thrombin (500 IU/mL) combined with B-mode blood flow imaging (B-flow). The information on the PSA, including the size of the arterial rupture and sac, flow rate, thrombin dose, and treatment outcome, was recorded during the procedure. Follow-up evaluation was performed at 1, 3, and 6 months after the treatment. Pearson’s correlation analysis was performed among the characteristics of PSA and the dose of thrombin. Result The age of patients ranged from 34 to 80 years and averaged 62.8 years. The maximum cross-sectional area of PSA ranged from 208 to 1148 mm2. All patients were treated with thrombin injections. The dose of thrombin ranged from 300 to 1667 IU. No reperfusions were detected at follow-up 6 months, and the BUGTI treatment was successful in all 21 cases. Pearson’s correlation analysis demonstrated that the dose of thrombin was positively correlated with the width (r = 0.449, p < .05) and maximum cross-sectional area (r = 0.504, p < .05) of PSA. Conclusion Thrombin injection under B-flow and ultrasound guidance is a rapid and effective treatment for PSA. Additionally, the sac size could be used to estimate the dose of thrombin.

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“…The wall of the false aneurysm is composed of the compressed, surrounding tissues, not the wall of the artery from which the lesion originated (4). PSAs may occur in 4 situations: 1) After catheterization,(2) Synthetic graft anastomoses (e.g., aortofemoral bypass graft),(3) Trauma,(4) Infection (e.g., mycotic PSA). Although the exact incidence is unknown, the risk of spontaneous rupture of PSA is related to the size (3 cm), presence of symptoms, large hematoma, or continued growth of the sac (5).…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic pseudoaneurysms of the DFA are only encountered infrequently in sports medical literature and are normally secondary to endovascular interventions or to mycotic infections, in IV drug users or following trauma to the thigh and orthopedic procedures of femur. The majority appear asymptomatically as a pulsatile mass, although on occasions clinical signs of compression (pain, neurological or venous symptoms) may occur; or, if the aneurysm bursts, it can lead to hypovolumic shock (2). Depending on the size of the aneurysm and hemodynamic status of the patient either an urgent or elective repair should be performed (3).…”

Section: Introductionmentioning

confidence: 99%