Popliteal Pseudoaneurysm as a Rare Complication of a Solitary Tibial Osteochondroma

Orawczyk, T.; Kuczmik, W.; Kazibudzki, M.; Ludyga, T.; Cwik, P.; Ziaja, K.

doi:10.1016/j.ejvs.2006.04.038

Cited by 5 publications

(8 citation statements)

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“…Usually, the plain radiograph is used to confirm the presence of one or more bony exostosis. This kind of bone tumor can also be seen markedly on an ultrasound examination 17 with echogenic focus showing posterior acoustic shadowing. In terms of vascular injury, many authors considered the duplex scan (DUS) as an accurate diagnostic method.…”

Section: Discussionmentioning

confidence: 93%

“…7 Therefore, the possibility of OC and/or PA should be considered in all patients with popliteal or brachial vein thrombosis. Acute limb ischemia can be related to embolisation of intraaneurysm thrombus to the distal artery or to a rupture of a PA. 17 Nerve palsy might be caused by external compression or traction by the PA sac. 10 Therefore, any space occupying lesion within the popliteal fossa may jeopardize the peroneal nerve and causes associated clinical findings with foot drop and paralysis.…”

Section: Discussionmentioning

confidence: 99%

“…8 The use of ultrasound-guided compression or thrombin injection and endovascular procedures is not safe in this area. 3,4,13,17 Endovascular coiling exposes the risk of artery thrombosis and coil migration to the systemic circulation, leaving out the bone tumor, which can produce complications. 17 Covered stents are increasingly being used to treat PA at a number of sites after orthopedic surgery or limb trauma, but very long-term patency of stent grafts is unknown.…”

Section: Discussionmentioning

confidence: 99%

“…However, the presence of a popliteal artery PA in association with an OC has been reported extensively in the literature. 1,3–56 Most published articles on this subject are case reports, 1,3…”

Section: Introductionmentioning

confidence: 99%

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Management of extremity arterial pseudoaneurysms associated with osteochondromas

Raherinantenaina¹,

Ratsimba²,

Rajaonanahary³

2016

Vascular

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Arterial pseudoaneurysms associated with osteochondromas are rare and most publications on this topic are case reports. The management of this double entity is not standardized. We wanted to update it. Literature searches on MEDLINE and EMBASE were performed using the keywords "artery pseudoaneurysm" and "osteochondroma". Patient demographics, clinical presentations, diagnostic and therapeutic modalities were reviewed. In sum, 101 cases were analyzed. Overall, young adults represented the majority of the affected population with a masculine preponderancy (86%). Painful swelling (51%) was the most commonly physical finding. Distal femur was the most common site of the osteochondroma (86%). Multiple hereditary exostosis was seldom reported (36%). Diagnostic confirmation was dominated by arteriography (55%). Popliteal artery (77%) was the most commonly injured vessel. The treatment was open surgery with vascular repair and optimal exostectomy. Arterial repair was performed with saphenous vein grafting (40%) or lateral suture (39%). Postoperative courses were often uneventful (97%). Arterial pseudoaneurysms resulted from osteochondromas were dominated by those involving the popliteal artery. The use of arteriography to confirm the diagnosis may be limited to the benefit of non-invasive radiological methods because endovascular treatment is not relevant in the setting of osteochondroma-induced arterial pseudoaneurysm.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of extremity arterial pseudoaneurysms associated with osteochondromas

Raherinantenaina¹,

Ratsimba²,

Rajaonanahary³

2016

Vascular

View full text Add to dashboard Cite

show abstract

“…Claudication, acute ischaemia, thrombosis [11], phlebitis, embolism, arteriovenous fistulae and pseudoaneurysm are four times more frequent in men than in women [2,3] and usually appear in the second decade of lives, ranging from 6 to 58 years [12]. In up to 60%, the arterial pseudoaneurysm is most frequently seen with a predilection of the superficial femoral artery in 56%, politeal artery in 25% [4,5], anterior tibial artery or tibioperoneal trunk in 19% [13,14].…”

Section: Discussionmentioning

confidence: 98%

Posttraumatic popliteal pseudoaneurysm caused by a femoral osteochondroma

Rupprecht

Mladenov²,

Stücker³

2010

Journal of Pediatric Orthopaedics B

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We report an exceptional case of a 12-year-old-boy with a pseudoaneurysm of the popliteal artery caused by an osteochondroma on the lower femoral metaphysic after a hyperextension trauma. On account of the absence of the most constant findings, the pulsation of a soft tissue mass and elevated inflammation blood parameters, we preoperatively assumed an infected haematoma. This patient was successfully operated upon with resection of the osteochondroma and saphenous vein femoropopliteal bypass. Owing to the severity of potential vascular complication, preventive resection of osteochondromas in the course of an artery and the need for a vascular surgeon on stand-by should be discussed.

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Osteochondroma-induced pseudoaneurysms of the extremities mimicking sarcoma: a report of seven contemporary and one historical case

et al. 2020

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Popliteal Pseudoaneurysm as a Rare Complication of a Solitary Tibial Osteochondroma

Cited by 5 publications

References 0 publications

Management of extremity arterial pseudoaneurysms associated with osteochondromas

Management of extremity arterial pseudoaneurysms associated with osteochondromas

Posttraumatic popliteal pseudoaneurysm caused by a femoral osteochondroma

Osteochondroma-induced pseudoaneurysms of the extremities mimicking sarcoma: a report of seven contemporary and one historical case

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