Pseudoaneurysm of the Anterior Tibial Artery: A Complication of Ankle Arthroscopy

Verbrugghe, Peter; Vandekerkhof, Jos; Baeyens, Isabelle

doi:10.1080/00015458.2011.11680785

Cited by 12 publications

(13 citation statements)

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“…Presentation may be delayed by months, following the initial insult. 3,5,17 As in our case, the differential diagnosis often includes infectious processes such as abscess formation. Varying degrees of swelling, fluctuance, erythema, pain, leukocytosis and other non-specific findings may lead the clinician to consider empiric incision and drainage of an arterial lesion presumed to be an abscess.…”

Section: Discussionmentioning

confidence: 69%

“…Such injuries, particularly pseudoaneurysms, are rare but well-recognized complications of ankle arthroscopy, with a reported incidence of 0.008%. [4][5][6][7] Rarely, pseudoaneurysm of the anterior tibial artery has been described as a result of endocarditis, connective tissue disease, biopsy, and, as in our case, sports injury. [8][9][10][11][12][13] Pseudoaneurysms may occur when all 3 layers of the arterial wall-intima, media, and adventitia-are damaged.…”

Section: Discussionmentioning

confidence: 73%

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Unusual diagnosis in a patient with minor ankle trauma

Piggott

Clark

2016

CJEM

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We present the case of a 23 year-old male who sustained an anterior tibial artery pseudoaneurysm after an apparently innocuous soccer injury. The patient presented with sudden onset severe pain and swelling one week after the injury. The diagnosis was made using duplex ultrasound, and confirmed with CT angiography. Definitive management consisted of endovascular platinum microcoiling. One year later, the patient is asymptomatic and remains active. A review of the epidemiology, diagnosis, and treatment of arterial pseudoaneurysm is presented. Bedside ultrasound in the emergency department may be a useful adjunct in the early identification of pseudoaneurysms.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 73%

Unusual diagnosis in a patient with minor ankle trauma

Piggott

Clark

2016

CJEM

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“…For instance, pseudoaneurysms of the anterior tibial artery and its lateral malleolar branches tend to occur following an injury to the vessels during passage of an arthroscope for ankle arthroscopy. [10][11][12] Pseudoaneurysms of plantar arteries, on the other hand, generally occur due to trauma to the plantar surface of the foot, often secondary to a local injury.…”

Section: Discussionmentioning

confidence: 99%

Aneurysms of the foot arteries

et al. 2015

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Aneurysms of the foot arteries are uncommon but can lead to devastating complications such as acute foot ischemia or arterial rupture if left untreated. In this case series, we present four cases of aneurysms of the foot: one true dorsalis pedis artery aneurysm and three cases of post-traumatic plantar artery pseudoaneurysms with arteriovenous fistulas. All four patients were successfully managed with surgical excision of the aneurysm with or without arteriovenous fistulas ligation. Our case series is followed by discussion on the etiology, clinical presentation and management strategy of patients with aneurysms of the foot arteries.

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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%