Pseudoaneurysm of the Anterior Tibial Artery after Ankle Arthroscopy

Jacobs, Eva; Groot, Diederik; Das, Marco; Hermus, Joris P.S.

doi:10.1053/j.jfas.2011.01.004

Cited by 44 publications

(40 citation statements)

References 11 publications

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“…9 Pseudoaneurysms of the dorsalis pedis artery have been increasingly encountered as a complication of ankle arthroscopy. [10][11][12][13] The development of a pseudoaneurysm can also involve either of the terminal branches of the posterior tibial artery, particularly the lateral plantar artery as a consequence of laceration, 14 a plantar fasciotomy, 15,16 or calcaneal osteotomy. 17 Pseudoaneurysm of the medial plantar artery has been reported after percutaneous pinning for a Lisfranc fracture dislocation.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Pseudoaneurysm of the Posterior Tibial Artery Treated by Endovascular Coil Embolization

Singh

Ferero

2012

Foot & Ankle Specialist

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Pseudoaneurysms of the posterior tibial artery are rare, but a high index of suspicion should be maintained in evaluating patients who present with a painful swelling after arterial trauma. We report a case of a posterior tibial artery pseudoaneurysm in a young patient sustained from a laceration and associated profuse arterial bleeding. Because of the risk of rupture and the presence of an infection and high venous flow, an embolization of the aneurysm proximally and distally was carried out after verifying that distal collateral circulation ensured foot vascularization. Endovascular treatment of a pseudoaneurysm seems to be a safe therapeutic and noninvasive choice, particularly in young patients in whom the presence of collaterals guarantees distal vascularization and in whom the procedure can be safely performed in the presence of a superficial wound infection.

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Section: Introductionmentioning

confidence: 99%

Traumatic Pseudoaneurysm of the Posterior Tibial Artery Treated by Endovascular Coil Embolization

Singh

Ferero

2012

Foot & Ankle Specialist

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“…1 The authors emphasised the importance of being aware of the anatomical variation of the trunk of the dorsalis pedis artery in relation to the deep peroneal nerve for portal placement but were unable to specifically recommend a safer portal. 1 The perceived increased risk of injury to the anterior tibial artery and deep peroneal nerve is supported by several reported cases of injury 11,15 and, as such, the …”

Section: Discussionmentioning

confidence: 97%

A cadaveric study showing the anatomical variations in the branches of the dorsalis pedis artery at the level of the ankle joint and its clinical implication in ankle arthroscopy

Parikh

Dawe

Lee

et al. 2017

annals

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INTRODUCTION Pseudoaneurysm formation following ankle arthroscopy is a rare but potentially catastrophic complication. The placement of anterior ankle portals carries inherent risk to the superficial and deep peroneal nerves, as well as to the dorsalis pedis artery. Anatomical variations in the dorsalis pedis and the presence of branches at the joint line may increase the risk of vascular injury and pseudoaneurysm formation during arthroscopy. There is limited anatomical evidence available regarding the branches of the dorsalis pedis artery, which occur at the point at which they cross the ankle joint. OBJECTIVES The objective of the study was to describe the frequency and direction of branches of the dorsalis pedis crossing the ankle joint. MATERIALS AND METHODS Nineteen cadaveric feet were carefully dissected to explore the course of the dorsalis pedis artery, noting in particular the branching pattern at the joint line. RESULTS Eleven of the nineteen feet had a branch of the dorsalis pedis artery that crossed the level of the ankle joint. Out of these, six were lateral, four medial and one bilateral. Eight of the eleven specimens had one branch at, or just before, the level of the joint. Two specimens had two branches and one had three branches crossing the ankle, which were all in the same direction, crossing laterally to the main trunk of the dorsalis pedis. CONCLUSIONS Our study demonstrated high rates of branching of the dorsalis pedis artery at the level of the ankle joint. The role of these branches in pseudoaneurysm formation during anterior hindfoot surgery remains unclear.

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“…Additional imaging modalities, including computed tomography and magnetic resonance imaging angiography, are not used on a routine basis. Needle aspiration will demonstrate arterial blood (13).…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the Perforating Peroneal Artery After Ankle Fracture Fixation: Case Report and Review of the Literature

Kosmidis

Kourkoutas

Stouki

et al. 2016

The Journal of Foot and Ankle Surgery

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Pseudoaneurysm of the Anterior Tibial Artery after Ankle Arthroscopy

Cited by 44 publications

References 11 publications

Traumatic Pseudoaneurysm of the Posterior Tibial Artery Treated by Endovascular Coil Embolization

Traumatic Pseudoaneurysm of the Posterior Tibial Artery Treated by Endovascular Coil Embolization

A cadaveric study showing the anatomical variations in the branches of the dorsalis pedis artery at the level of the ankle joint and its clinical implication in ankle arthroscopy

Pseudoaneurysm of the Perforating Peroneal Artery After Ankle Fracture Fixation: Case Report and Review of the Literature

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