Pseudoaneurysm of peroneal artery after ankle arthroscopy

Battisti, Daniela; Oliva, Francesco; Tarantino, Umberto; Maffulli, Nicola

doi:10.11138/mltj/2014.4.2.269

Cited by 10 publications

(10 citation statements)

References 17 publications

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“…The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery after ankle arthroscopy [13]. Here, we describe an uncommon case of a 48-year-old man with the absence of the ATA and PTA.…”

Section: Introductionmentioning

confidence: 83%

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Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy

Tonogai

Fujimoto

Sairyo

2018

Case Reports in Orthopedics

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The use of standard anterolateral and anteromedial portals in ankle arthroscopy results in reduced risk of vascular complications. Anatomical variations of the arterial network of the foot and ankle might render the vessels more susceptible to injury during procedures involving the anterior ankle joint. The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery after ankle arthroscopy. Here, we report the unusual case of a 48-year-old man in general good health with the absence of the anterior tibial artery and posterior tibial artery. The patient presented with a pseudoaneurysm of the perforating peroneal artery following ankle arthroscopy for traumatic osteoarthritis associated with nonunion of the medial malleolus. The perforating peroneal artery injury was repaired by performing end-to-end anastomosis. The perforating peroneal artery is at higher risk for iatrogenic injury during ankle arthroscopy in the presence of abnormal arterial variations of the foot and ankle, particularly the absence of the anterior tibial artery and posterior tibial artery. Before ankle arthroscopy, surgeons should therefore carefully observe the course of the perforating peroneal artery on enhanced 3-dimensional computed tomography, especially in patients with a history of trauma to the ankle joint.

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Section: Introductionmentioning

confidence: 83%

“…We have previously reported a case of aneurysm of the ATA [3], but a pseudoaneurysm of the peroneal artery, particularly around the ankle joint, is uncommon [4]. Peroneal artery aneurysm around the ankle joint has been reported following ankle sprain [5–10], fracture [11, 12], and ankle arthroscopy [13] and in hemophiliacs [14].…”

Section: Introductionmentioning

confidence: 99%

Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy

Tonogai

Fujimoto

Sairyo

2018

Case Reports in Orthopedics

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“…Williams Parikh et al, recommend anatomical knowledge about the communications and branching pattern of PP around the ankle, prior to any operative procedures in this region, because it is the main artery that gives branches over the ankle other than DPA (17). Vascular injuries at the ankle may involve ATA (18), PP19 or DPA (20). As quoted by Feliciano and his co-authors when a vascular injury is handled appropriately and in time, percentage of success rate will be high (21).…”

Section: Discussionmentioning

confidence: 99%

A study on perforating peroneal artery

Rai

Tonse

Bem

et al. 2020

Muscle Ligaments and Tendons J

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Aims. Peroneal flap with vascular pedicles is considered as a good substitute for limb reconstructions or any other soft tissue defects because of the number of perforating branches given from the PA. Purpose of this study is to evaluate the branching and communicating pattern of distal most perforating peroneal artery (PP). Methods. Dissected lower limbs of 48 cadavers were studied for the course and communications of PP. Results. The study encountered usual as well as variant communications of PP. In about 12% of the study sample PP continued as DPA and in about 6% of the cases it was communicated with DPA dorsal to the talar head region. The most frequent finding in the present study is PP piercing the interosseous membrane between tibia and fibula at about 6 to 6.5cm proximal to the tip of lateral malleolus. In one of the specimens it was piercing the LM at the base of LM. Conclusions. The results of present study imply a cautious dissection to locate an appropriate vascular pedicle for the flap surgery as there are small communications of PP with ATA as well as DPA and PP can also take variant course. Because failure to do so may lead to accidental and serious vascular injuries.

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“…While similar cases of AT pseudoaneurysms exist in the literature, this particular case is notable for the location in the DP artery, the size of the pseudoaneurysm, late presentation, and eventual rupture. 2–8 …”

Section: Discussionmentioning

confidence: 99%

Ruptured Pseudoaneurysm of the Dorsalis Pedis Artery Following Ankle Arthroscopy

Wiske

Itoga

Ullery

et al. 2016

JBJS Case Connector

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Case We describe the case of a dorsalis pedis artery pseudoaneurysm that developed following a repeat ankle arthrotomy for persistent bony impingement. The patient underwent attempted fluid aspiration for a presumed effusion, and ultimately experienced rupture of the aneurysm with significant blood loss and need for emergent vascular repair. Conclusion Anterior tibial or dorsalis pedis artery pseudoaneurysms are relatively rare but well-documented complications of ankle arthroscopy; however, their clinical significance is poorly understood. To our knowledge, this is the first reported case of a ruptured dorsalis pedis artery pseudoaneurysm following ankle surgery, and it highlights the need for timely diagnosis.

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Pseudoaneurysm of peroneal artery after ankle arthroscopy

Cited by 10 publications

References 17 publications

Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy

Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy

A study on perforating peroneal artery

Ruptured Pseudoaneurysm of the Dorsalis Pedis Artery Following Ankle Arthroscopy

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