1997
DOI: 10.1016/s0741-5214(97)70291-x
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Lateral venous ulcer and short saphenous vein insufficiency

Abstract: Even isolated lateral leg and ankle ulcers with minimal accessory venous stigmata can be of venous reflux origin. Detection with the continuous wave Doppler and confirmation of reflux and localization of the SPJ allow surgical correction to proceed swiftly with an expectation of satisfactory results.

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Cited by 57 publications
(36 citation statements)
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“…A venous ulcer at the lateral malleolus may be associated to insufficiency of the vena saphena parva. 17 Although the presence of varicose veins reinforces the diagnosis of venous ulcer, it is not pathognomonic, and their absence is not excludent of venous etyology. 10 All lower limb pulses should be palpated, specially the pedis arterial and posterior tibial pulses, although this may be difficult to detect due to the presence of lipodermatosclerosis or ulcer at the site.…”
mentioning
confidence: 99%
“…A venous ulcer at the lateral malleolus may be associated to insufficiency of the vena saphena parva. 17 Although the presence of varicose veins reinforces the diagnosis of venous ulcer, it is not pathognomonic, and their absence is not excludent of venous etyology. 10 All lower limb pulses should be palpated, specially the pedis arterial and posterior tibial pulses, although this may be difficult to detect due to the presence of lipodermatosclerosis or ulcer at the site.…”
mentioning
confidence: 99%
“…This report fails, however, to mention CFDI investigation of the GSV. 2 Bello and colleagues 8 performed CFDI on 122 legs with venous ulceration. Thirteen patients showed isolated SSV incompetence, with an equal distribution of medial and lateral ulcers.…”
Section: Discussionmentioning
confidence: 99%
“…1 The etiology of lateral ulcers includes peripheral arterial disease, venous valvular incompetence, and hypertensive ulceration (Martorell ulcer). 2 In the past the role of isolated incompetence of the small saphenous vein (SSV) was doubted as an etiologic cause of lateral ulceration. 3 In this article, we describe three patients with lateral ulcers at the ankle in whom we demonstrated incompetence of the SSV as the cause of ulceration located on the lateral aspect of the ankle.…”
mentioning
confidence: 99%
“…Although lateral leg venous ulcerations may reflect incompetence of the lesser (short) saphenous vein, isolated GSV incompetence may in fact result in most cases of these lateral lesions , although saphenopopliteal junction (SPJ) dysfunction may also play a role . Therefore, when confronted with a laterally situated leg ulceration (and especially in the context of morphologic findings congruent with chronic venous insufficiency, but even in the absence of such findings), a venous etiology needs to be considered, and duplex ultrasonography interrogating for reflux, including at the SPJ, should be performed, which may reveal the responsible venous abnormality . Lateral venous ulcerations refractory to compression therapy have been successfully treated with sclerotherapy ; vein ligation has also been utilized .…”
Section: Atypical Vascular/circulatory Ulcersmentioning
confidence: 99%
“…Therefore, when confronted with a laterally situated leg ulceration (and especially in the context of morphologic findings congruent with chronic venous insufficiency, but even in the absence of such findings), a venous etiology needs to be considered, and duplex ultrasonography interrogating for reflux, including at the SPJ, should be performed, which may reveal the responsible venous abnormality . Lateral venous ulcerations refractory to compression therapy have been successfully treated with sclerotherapy ; vein ligation has also been utilized . The differential diagnosis of lateral leg ulcerations includes – in addition to venous disease – vasculitic ulcers and hypertensive arterial ulcers of Martorell (to be discussed below).…”
Section: Atypical Vascular/circulatory Ulcersmentioning
confidence: 99%