Death After Closed Adolescent Knee Injury and Popliteal Artery Occlusion

Reid, Jeremy J.; Kremen, Thomas J.; Oppenheim, William L.

doi:10.1177/1941738113498068

Cited by 6 publications

(4 citation statements)

References 36 publications

(60 reference statements)

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“…Doppler ultrasonography confirmed the blood flow of crural arteries were intact, which misled us not to perform preoperative CT angiography. The diagnosis of an acute occlusion in popliteal artery after knee dislocation may have more obvious symptoms 3,7,14 . However, chronic occlusion may present solely as a progressive claudication in the extremity 5 .…”

Section: Discussionmentioning

confidence: 99%

“…Popliteal artery injury is associated mainly with high energy injuries such as athletic activities especially in younger population, including knee dislocation and complex fracture of associated bone structures 5,6 . Failure to diagnose may lead to amputation or even death due to systemic inflammatory illness especially in the pediatric population 7,8 . In this report, we present a patient who had a soft tissue defect in lower extremity with ipsilateral popliteal artery occlusion with slow progression due to dislocation of knee in which diagnosis was delayed and led to phalanx amputation and reconstructed with cross-leg free anterolateral thigh flap (ALT).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adolesanda Diz Çıkığı Nedeniyle Yavaş İlerleyen Popliteal Arter Oklüzyonu Sonrası Flep Nekrozu: Bir Olgu Sunumu

Ünsal

Bali

Tuluy

et al. 2022

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Popliteal artery occlusion is a rare vascular complication after blunt knee trauma and may lead to limb loss if diagnosis is delayed. Development of collateral pathways may misguide the surgeon in planning surgeries for defect reconstruction. We report a case of a patient with popliteal artery occlusion resulting from dislocation of knee after fall from height, which developed a defect anteromedial to ankle following orthopedic surgery. After reconstruction with a free flap, ischemia was observed in foot and arteriography confirmed the occlusion of popliteal artery with well-developed collateral arteries. The patient underwent femoro-popliteal bypass surgery for limb salvation. At the end of the recovery time, the defect was reconstructed with cross leg free flap.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adolesanda Diz Çıkığı Nedeniyle Yavaş İlerleyen Popliteal Arter Oklüzyonu Sonrası Flep Nekrozu: Bir Olgu Sunumu

Ünsal

Bali

Tuluy

et al. 2022

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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“…However, death following popliteal artery injury in blunt trauma is rare [ 9 ]. Reid et al [ 10 ] reported death of an adolescent due to delayed presentation on the third day after blunt knee sports injury with development of systemic inflammatory illness due to popliteal artery occlusion. Lang et al [ 11 ] evaluated concomitant injuries, complications, amputation rates, and outcomes in 64 cases of blunt (54.7%) and penetrating (45.3%) lower limb trauma with popliteal artery injury, along with a death.…”

Section: Discussionmentioning

confidence: 99%

Sudden Death of a Young Hemophiliac by Low-Velocity Blunt Knee Trauma in Bullock Cart Run-Over Fatality

Chauhan¹,

Behera²,

Rustagi³

2021

Cureus

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A young bullock cart driver was pushing bulls hard in stunt and frolic. The cart sped up and he lost control and toppled in front of the iron wheel, which ran over his lower limb around the knee. Concomitant hemophilia further complicated the popliteal artery bleed, and the patient succumbed within hours of injury, despite medical aid. Sudden death is rare in congenital or acquired hemophilia. Popliteal artery injuries usually threaten the limb in high-velocity blunt or penetrating trauma in comparison to other peripheral arteries. However, fatality after popliteal artery injury in low-velocity blunt trauma is rare. Bullock cart is a very slow mode of transport. But animals can show unpredictable and aggressive behavior when driven in carts, which poses considerable risk of fatality to driver and occupants if they sustain vascular or regional injuries. As there is scarce literature about bullock cart-related injuries, this paper focuses on bullock cart run-over fatalities and sudden death in young hemophiliacs.

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“…Popliteal artery transection injury is a condition resulting in limb necrosis or amputation that can be potentially life-threatening [4]. Severe trauma, including open fracture, gunshot wounds, stabs, knee dislocation and complex fracture of the proximal tibia or distal femur are the principal causes of the high rates of amputation in popliteal artery trauma (Table 1) [5][6][7][8][9][10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Popliteal artery transection associated with a minimally displaced tibial plateau fracture: a case report and review of the literature

Liu

et al. 2020

BMC Musculoskelet Disord

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Background: Poplital artery transection injury is potentially catastrophic, or even life-threatening. Severe traumas, including open fracture, gunshot, stabs, and knee dislocation and complex fracture of proximal tibia or distal femur, are the common causes of high rate of amputation due to popliteal artery trauma. No report mentions vascular injury associated with minimally displaced tibial plateau fracture in adult. Case presentation: A 30-year-old male presented with popliteal artery transection injury associated with minimally displaced tibial plateau fracture. He presented to emergency department, 6 h after fall from ground into a 1-m height hole. Physical examination suggested acute ischemia, with signs of paleness, coldness, anesthesia, hemorrhagic bullae below the right knee level. There was severe swelling and ecchymosis in popliteal fossa and around the leg with significant calf tenderness and pedal edema. Tibialis posterior, dorsalis pedis, and popliteal arterial pulses were not palpable. Radiograph suggested minimally displaced tibial plateau fracture with no evidence of knee dislocation. The patient was taken up for emergency surgery after consultation with vascular surgeon. During the closed reduction external fixation and compartment decompression, popliteal artery trunk was found transected and end-to-end repair was performed. During the post-operational period, no complication was developed and the patient was followed-up for 1 year. At the one-year follow-up, he acquired good stability of his right knee with full range of motion. Conclusion: Significant swelling and ecchymosis should alert the surgeons to the possibility of vascular injury in knee joint injury, even if there is no fracture or dislocation, or fracture is minimally displaced.

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Death After Closed Adolescent Knee Injury and Popliteal Artery Occlusion

Cited by 6 publications

References 36 publications

Adolesanda Diz Çıkığı Nedeniyle Yavaş İlerleyen Popliteal Arter Oklüzyonu Sonrası Flep Nekrozu: Bir Olgu Sunumu

Adolesanda Diz Çıkığı Nedeniyle Yavaş İlerleyen Popliteal Arter Oklüzyonu Sonrası Flep Nekrozu: Bir Olgu Sunumu

Sudden Death of a Young Hemophiliac by Low-Velocity Blunt Knee Trauma in Bullock Cart Run-Over Fatality

Popliteal artery transection associated with a minimally displaced tibial plateau fracture: a case report and review of the literature

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