Distal posterior tibial artery pseudoaneurysm after fracture calcaneous

Abstract

Here we report a case of pseudoaneurysm of distal posterior tibial artery following closed fracture of calcaneous. Association of pseudoaneurysm of posterior tibial artery with fracture of calcaneous is extremely uncommon. It is always suggested that pseudoaneurysm be treated by reconstruction, but here we present the case treated by ligation, obliteration and excision as it was situated distally and the plantar arch circulation was maintained. The purpose of this case report is to bring attention to this complication of vascular trauma, which may cause delayed symptoms long time after the injury as well as the rare incidence of posterior tibial artery involvement with fracture calcaneous.

Associated lateral process and posteromedial tubercle talus fractures with entrapment of the medial neurovascular bundle: A case report

“…Lacerations of the vascular wall may lead to complete thrombosis and occlusion of the lumen but perfusion of the foot can still be maintained by a well-developed collateral system. In the presence of good collateral circulation, vessel ligation can be as effective as the other treatment options described [1,9]. Diagnosing these lesions early could perhaps prevent unfortunate cases, such as the one described by Brzakala et al [4], which required the amputation of the leg 6 months after a closed trauma to the ankle that caused thrombosis of the posterior tibial artery.…”

Ankle pseudoaneurysm: distal posterior tibial artery pseudoaneurysm in a child following blunt trauma

“…There were in total 26 cases of foot pseudoaneurysm reported in English literature based on PubMed search. Distal posterior tibial artery involvement was only six, among them and four were reported among children 1–5…”

Pseudoaneurysm of the medial plantar artery following low‐energy closed calcaneal fracture

“…Although pseudoaneurysms are well‐recognized following trauma in both body cavities and extremities, more distal traumatic pseudoaneurysms of the foot and ankle are extremely rare. Only three cases involving the posterior tibial artery have previously been reported in the literature 1–3 . These were diagnosed at least 4 weeks after a fall from height with associated displaced calcaneal fractures.…”