Pseudoaneurysm of the dorsalis pedis artery after ankle arthroscopy

Is the Anterior Tibial Artery Safe During Ankle Arthroscopy?

“…The documented pseudoaneurysms include many cases in which the full recovery of blood supply by arterial anastomosis was difficult, and arterial ligation was associated with poor outcomes in most cases. 2,5,6,[9][10][11]13,17 In our cases, there was 1 case of traumatic pseudoaneurysm of ATA among the 3 patients undergoing arthroscopy from the 22 patients with type 2 and 3 ATAs in this study. The patient was referred to the vascular surgery department and her ATA was sacrificed by ligation ( Figure 1).…”

Anatomical relations of anterior and posterior ankle arthroscopy portals: a cadaveric study

“…Although an anatomical study has reported the relative safety of the AM, AL, and PL portals [5], clinical studies have shown that neurovascular complications can occur in association with any of the portals, as shown by Ferkel et al [2] in an analysis including a series of 612 arthroscopies and reporting 9 % rate of complications, of which more than half were neurologic. Vascular injuries, although less prevalent, have also been reported [6][7][8] and may pose a significant threat to the patient's limb.…”

Anterior Ankle Arthroscopy

“…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.…”