Missed diagnosis of ankle pseudoaneurysm following ankle arthroscopy: a case report

Ramavath, A.L.; Cornish, Julie; Ganapathi, M.; Williams, Dean T.

doi:10.1186/1757-1626-2-162

Cited by 27 publications

(21 citation statements)

References 7 publications

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“…Patients may present abnormal swelling or pain of the involved ankle, with a reduction of the ROM of the joint or recurrent hemarthrosis of the ankle due to the rupture of the pseudoaneurysm. The pulsatile mass can occur after few days but can develop even after weeks or months after an anterior ankle arthroscopy and it is independent from the coagulation state of the patient 14 . The mechanism of formation of a pseudoaneurysm is not completely clear.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of peroneal artery after ankle arthroscopy

Battisti

Oliva

Tarantino

et al. 2019

Muscle Ligaments and Tendons J

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Background: ankle arthroscopy increased its role in the diagnosis and treatment of pathology of the ankle since 1970s. Although the benefits are well established, ankle arthroscopy is associated with a definite risk of complications, especially neurological. The incidence rate of vascular complication after anterior ankle arthroscopy has been reported. Methods: we review the literature on vascular complications after anterior ankle arthroscopy especially pseudoaneurysm and a case report of a peronal artery pseudoaneurysm was reported. Conclusion: vascular complications after an anterior ankle arthroscopy are extremely rare but orthopaedic surgeons should be wary of this chance. Among vascular complications after an anterior ankle arthroscopy, peroneal artery pseudoaneurysm to our knowledge never has been described until now.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of peroneal artery after ankle arthroscopy

Battisti

Oliva

Tarantino

et al. 2019

Muscle Ligaments and Tendons J

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“…It may present as a pulsatile and painful swelling after surgery or may be confused with a haematoma, leading to a delay in diagnosis [5]. Previous cases of pseudoaneurysm have been reported following intramedullary nailing for tibial [6] and femoral fractures [7].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the Anterior Tibial Artery following Tibio-Talar-Calcaneum Fusion with a Retrograde Nail: A Rare Case and Literature Review

Craxford

Karuppiah

Milner

2013

Case Reports in Orthopedics

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This study reports the case of an 87-year-old woman who presented with a nonresolving haematoma 13 weeks following tibiotalar arthrodesis surgery on her right ankle using a retrograde nail. This was revealed by angiography to be a pseudoaneurysm of the anterior tibial artery. The patient subsequently underwent endovascular stenting of the pseudoaneurysm and has had a successful recovery. This case highlights the need for awareness of both the normal arterial supply to the leg and ankle as well as the potential for anatomical variations. Arterial variation may be as high as 6.7% based on published findings from cadaveric studies. As pseudoaneurysm is a rare complication, a high index of suspicion is needed in order to avoid a missed or delayed diagnosis. We urge surgeons to keep in mind the potential for pseudoaneurysm when a patient presents with a nonresolving haematoma and arrange appropriate further investigations as needed.

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“…There are many reports of pseudoaneurysm of the anterior tibial artery, and 1 report of pseudoaneurysm of the dorsalis pedis artery after anterior ankle arthroscopy in the literature. 38,40,[54][55][56][57][58] In cadaveric studies, a 4.3% rate of anatomic variation of the anterior tibial artery and dorsalis pedis artery was shown. 59 A study by Son and colleagues 38 used MRI to better estimate the rate of anatomic variation near the anterolateral portal.…”

Section: Complicationsmentioning

confidence: 99%