Anterior Tibial Artery and Deep Peroneal Nerve Entrapment in Spiral Distal Third Tibia Fracture

The Changed Route of Anterior Tibial Artery due to Healed Fracture

“…Those images carry a high educational value since it is extremely rare to come across such rare cases with such detailed imaging studies. In our literature scan on anterior tibial artery entrapment in distal third tibial fracture, only one article was found in this subject, which proves our point [ 11 ].…”

Síndrome do aprisionamento da artéria tibial anterior: relato de caso

“…2 Entrapment of other arteries is rare, and there are only reports of sporadic cases. 4 In the case of the anterior tibial artery, the artery passes through the interosseous membrane via an oval osteofibrous space to enter the anterior compartment. Along the upper two-thirds of the tibia, the anterior tibial artery runs along the anterior surface of the interosseous membrane, between the anterior tibialis and the extensor hallucis longus muscles.…”

Fixation of a Distal Diaphyseal Tibia Fracture with Neurovascular Tissue Incarceration: Surgical Technique Using a Lesser Invasive Approach

“…There are currently only two cases of ATA entrapment in an adult distal tibia fracture reported in the literature, as well as one series of distal tibial epiphyseal growth-plate fractures in children [9][10][11]. However, none of these publications reported on fracture healing and patient outcome.…”

“…A 3 cm incision above the medial malleolus was made and a low profile anatomically pre-contoured 3.5/4.5 mm locking compression plate (LCP; Synthes®, Oberdorf, Switzerland) was subcutaneously inserted in a retro- ated with fracture reduction difficulties, non-operative treatment failure, injury to the incarcerated structure and compromised bone union [1,2,[9][10][11][15][16][17][18][19][20][21]. Experimental studies show that muscle interposition in an animal fracture model prevents callus formation by creating a gap at the fracture site and is a predictable way to obtain intentional non-union [1,2,20,21].…”

“…The incidence of this condition in distal diaphyseal tibia fractures is currently unknown but may be partly responsible for the reported delayed union rate of 4%-44% and non-union rate of 3.6%-9% [3][4][5][6][7][8]. Anterior Tibial Artery (ATA) and Deep Peroneal Nerve (DPN) entrapments have been described in these fractures [9][10][11].…”