Pseudoaneurysm following ankle arthroscopy: a systematic review of case series

Yammine, Kaissar; Kheir, Nadim; Daher, Jimmy; Naoum, Joseph J.; Assi, Chahine

doi:10.1007/s00590-018-2324-6

Cited by 8 publications

(8 citation statements)

References 37 publications

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“…Etiologies of PSA are often traumatic, [ 13 ] iatrogenic [ 14 ] and inflammatory origins. [ 15 ] PSA after trauma is becoming a common occurrence because of civilian violence in society increasingly.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous pseudoaneurysm of the posterior tibial artery successfully treated by open surgery

Li¹,

Mei²,

Yan

et al. 2020

Medicine

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Rationale: An extremely rare spontaneous pseudoaneurysm (PSA) of the posterior tibial artery (PTA) in a middle-aged male patient was cured by open surgery effectively. Patient concerns: A 53-year-old man presented with the increasing swollen left shank for 1 day, with intermittent pain, pulselessness and pallor. He denied the history of trauma, infection, and other diseases. Diagnoses: Physical examination, past medical history, ankle brachial index, ultrasonography, computed tomographic angiography (CTA), 3-dimensional reconstruction image of the popliteal artery and its branches and histological examination of intraluminal thrombus and clots helped us diagnose the patient as spontaneous PSA of PTA. Interventions: Our patient underwent excision of PSA and repair operation of PSA. Outcomes: The patient recovered well at 2-year follow-up. Lessons: This rare case provides valuable insights for tissue repair and vascular surgery. Therapeutic methods should be in accordance with the best interest of patient. Open surgery is the effective treatment for spontaneous PSA of PTA.

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Section: Discussionmentioning

confidence: 99%

Spontaneous pseudoaneurysm of the posterior tibial artery successfully treated by open surgery

Li¹,

Mei²,

Yan

et al. 2020

Medicine

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“…2,3 Much of the literature reviewing PSAs of the lower leg comes from orthopedics as PSA are a rare but well-described complication of traumatic ankle injuries and ankle arthroscopy; however, these predominantly affect the anterior tibial and dorsalis pedis arteries. [2][3][4] Although several cases have been reported, it is extremely rare to find a PSA of the lateral plantar artery. Although rare, it is believed that the lateral plantar artery is more susceptible to injury than the medial plantar artery owing to its superficial course under the fascia across the plantar aspect of the foot.…”

Section: Discussionmentioning

confidence: 99%

Open repair of a plantar artery pseudoaneurysm after Morton's neurectomy

Cavallo

Lazar

Liou

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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A 65-year-old woman presented to our institution with 4 months of severe pain on the plantar aspect of her foot. She had chronic foot pain secondary to Morton's neuroma and had recently undergone neurectomy. She was found to have a large pseudoaneurysm on the plantar aspect of her foot. She was taken to the operating room for an open repair from a plantar approach. We obtained the patient's consent to publish this case.

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“…In a systematic review of case series published in 2019 by Yammine et al , it was stated that delays in diagnosis are common and could lead to overlying skin necrosis ( 27 ). Data from 23 patients with a mean age of 40.9 years were extracted and analysed.…”

Section: Complications Of Ankle Arthroscopymentioning

confidence: 99%

“…A state of hypocoagulability could affect the healing of the lesion and, consequently, the formation of pseudoaneurysms. The diagnosis of pseudoaneurysm should be considered whenever persistent or pulsatile inflammation is observed over a portal incision ( 27 ).…”

Section: Complications Of Ankle Arthroscopymentioning

confidence: 99%

“…As early as 1996, Ferkel et al indicated AA for patients with ankle pain, swelling, locking, and instability who did not respond to non-surgical treatment ( 5 ). Subsequently, the indications for AA have been expanded ( 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ). Table 1 summarises the current indications for AA.…”

Section: Introductionmentioning

confidence: 99%

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Complications of ankle arthroscopy: frequency, prevention, and treatment

Rodríguez-Merchán,

Encinas-Ullán,

Ruiz-Pérez

et al. 2024

EFORT Open Reviews

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The complication rate of ankle arthroscopy (AA) ranges from 3.5% to 14%. To avoid such complications, it is essential to have a thorough understanding of the anatomy of the ankle, to perform the procedure very carefully and with appropriate instrumentation, and to use a non-invasive distraction technique. The most frequent complications are neurological (cutaneous nerve injuries), which are usually caused by direct injury during arthroscopic portals or by a distracting pin when using an invasive distraction technique. They usually resolve spontaneously within a few months. The iatrogenic formation of a pseudoaneurysm is a severe but extremely rare complication (an incidence of 0.008%). There are several treatments for pseudoaneurysms: external compression; direct thrombin injection, surgical intervention (resection of the damaged segment of the artery and reconstruction with a reversed long saphenous vein interposition graft), and endovascular embolisation. Other rare complications include wound infections (localised superficial infection), problems at the portal incisions (prolonged portal drainage, residual pain in the portal, portal scar dehiscence, cyst at the portal site), type I complex regional pain syndrome, instrument breakage, painful scars and nodules, and a number of other rarer complications. In conclusion, when performing AA, it is important to remember the potential complications and try to avoid them. When they do occur, it is essential to diagnose and treat them appropriately.

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Pseudoaneurysm following ankle arthroscopy: a systematic review of case series

Cited by 8 publications

References 37 publications

Spontaneous pseudoaneurysm of the posterior tibial artery successfully treated by open surgery

Spontaneous pseudoaneurysm of the posterior tibial artery successfully treated by open surgery

Open repair of a plantar artery pseudoaneurysm after Morton's neurectomy

Complications of ankle arthroscopy: frequency, prevention, and treatment

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