Pseudoaneurysm of the Posterior Tibial Artery Following a Closed Fracture of the Calcaneus: A Case Report

Aiyer, Sujata; Thakkar, C.J.; Samant, Prakash D.; VERLEKAR, S.; NIRAWANE, R.

doi:10.2106/jbjs.d.02605

Cited by 13 publications

(11 citation statements)

References 15 publications

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“…These injuries are often considered to be less serious if bone injury has been ruled out. There are several case reports regarding vascular abnormalities following penetrating trauma, blunt trauma, fractured bone, traction injuries, and crush injuries to the lower limbs [1][2][3][4][5][6][7] . Postoperative pseudoaneurysm has also been reported 8,9 .…”

Section: Discussionmentioning

confidence: 99%

Pathological Fracture of the Fibula Due to a Late Presenting Posterior Tibial Artery Pseudoaneurysm

Singh

Banode

Shrivastva

et al. 2011

The Journal of Bone and Joint Surgery-American Volume

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Section: Discussionmentioning

confidence: 99%

Pathological Fracture of the Fibula Due to a Late Presenting Posterior Tibial Artery Pseudoaneurysm

Singh

Banode

Shrivastva

et al. 2011

The Journal of Bone and Joint Surgery-American Volume

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“…Pseudoaneurysm of the foot occurs often in the setting of non-penetrating blunt trauma, which can be relatively minor, with cases reported after foot and ankle sprain 5) or bruise, 7) or after sharp penetrating injury 6) or fracture, 9) and also after many kinds of surgical procedures. 3,4) However, it has not been reported after proximal chevron osteotomy.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm after Proximal Metatarsal Osteotomy for Hallux Valgus Correction: A Case Report

Lee¹,

Park

Jegal³

et al. 2014

J Korean Foot Ankle Soc

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Occurrence of pseudoaneurysm in the foot and ankle is rare, and is usually caused by traumatic injury or by iatrogenic intervention. Iatrogenic pseudoaneurysms in the foot and ankle have been observed after rearfoot and ankle fusions, ankle arthroscopy, endoscopic and open plantar fasciotomy, tibial osteotomy with limb lengthening, midfoot amputation, and Lapidus procedure. We report on a patient who developed a pseudoaneurysm of the dorsal metatarsal artery following correction of hallux valgus. The patient underwent proximal chevron osteotomy and Akin phalangeal osteotomy. The feeding artery was ligated and the pseudoaneurysm was excised.Key Words: Hallux valgus, Corrective osteotomy, Pseudoaneurysm otomy. As far as we are aware, no one patient has previously been reported after such procedures. The patients and her families were informed that data from the case would be submitted for publication, and gave their consent. CASE REPORTA 55-year-old woman presented for the evaluation of a mass on the dorsum of the left foot. On examination, there was an approximately 2×2 cm mildly tender pulsatile mass in the dorsal soft tissues of the right midfoot (Fig. 1A). By history, the mass had been present 3 months after hallux valgus correction. She had a proximal chevron osteotomy and Akin osteotomy with Kirschner wires fixation (Fig. 1B). The operation was done without any difficulties and specific problems. She felt bruit on her foot dorsum since 3 days after the operation. Kirschner wires were removed at 6weeks after the operation as usual. Ultrasound of the soft tissue mass was performed, demonstrating an ovoid heterogeneous welldefined vascular mass, measuring 1.3 cm longitudinally by 1.6 cm transversely by 1.2 cm in depth. Echogenic mural thrombus surrounded a central, well-defined, 8-mm diameter anechoic region within the mass that contained swirling vascular signal on a color Doppler ultrasound (Fig. 1C). An adjacent, normal-sized first dor-A pseudoaneurysm rarely occurs in the foot and ankle, and is usually caused by traumatic injury or by iatrogenic intervention. We report a patient in whom pseudoaneurysms of the dorsal metatarsal artery developed following a correction of hallux valgus. The patient had proximal chevron osteotomy and Akin oste-

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“…The association with fracture of calcaneous seems even rarer, as an extensive electronic search of world literature reveled only two published case reports [2][3]. Traumatic arterial injuries can be classifi ed as a) complete transaction, b) partial tear or c) intimal tear.…”

Section: Discussionmentioning

confidence: 99%

Distal posterior tibial artery pseudoaneurysm after fracture calcaneous

2008

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Here we report a case of pseudoaneurysm of distal posterior tibial artery following closed fracture of calcaneous. Association of pseudoaneurysm of posterior tibial artery with fracture of calcaneous is extremely uncommon. It is always suggested that pseudoaneurysm be treated by reconstruction, but here we present the case treated by ligation, obliteration and excision as it was situated distally and the plantar arch circulation was maintained. The purpose of this case report is to bring attention to this complication of vascular trauma, which may cause delayed symptoms long time after the injury as well as the rare incidence of posterior tibial artery involvement with fracture calcaneous.

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Pseudoaneurysm of the Posterior Tibial Artery Following a Closed Fracture of the Calcaneus: A Case Report

Cited by 13 publications

References 15 publications

Pathological Fracture of the Fibula Due to a Late Presenting Posterior Tibial Artery Pseudoaneurysm

Pathological Fracture of the Fibula Due to a Late Presenting Posterior Tibial Artery Pseudoaneurysm

Pseudoaneurysm after Proximal Metatarsal Osteotomy for Hallux Valgus Correction: A Case Report

Distal posterior tibial artery pseudoaneurysm after fracture calcaneous

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