Pseudoaneurysms around the foot and ankle: Case report and literature review

Yu, Jeong-Hwa; Ho, Edwin; Wines, Andrew

doi:10.1016/j.fas.2012.08.003

Cited by 41 publications

(55 citation statements)

References 32 publications

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“…5 Unlike other studies, abnormal branching patterns of the dorsalis pedis artery at the level of the ankle joint occurred in the majority of patients in our study. The discrepancy between the high number of branches and the low incidence of pseudoaneurysm formation suggests there are other contributory factors.…”

Section: Discussioncontrasting

confidence: 53%

“…Fortunately, the incidence of pseudoaneurysm during ankle arthroscopy is only around 0.008%. 5 One study reported a single vascular complication from 1,305 procedures. 9 The aim of this cadaveric study was to identify the anatomical variation of the dorsalis pedis artery at the level of the ankle joint by describing the frequency and direction of branches crossing the ankle joint, which might be damaged by the placement of arthroscopic portals.…”

Section: Introductionmentioning

confidence: 99%

“…The most common symptom reported in related case reports is disproportionate postoperative pain. [4][5][6][7][8] Using anterior arthroscopic portals carries an inherent risk to structures crossing the joint line longitudinally; in particular, the superficial peroneal nerve and dorsalis pedis artery. Fortunately, the incidence of pseudoaneurysm during ankle arthroscopy is only around 0.008%.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussioncontrasting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…The majority of pseudoaneurysms present within three weeks of the inciting injury or surgery; however, late presentations up to five years have been reported. 3 Arterial pseudoaneurysm is a common complication of cardiac interventions with rates of femoral artery pseudoaneurysm formation as high as 7%. 9 In the pedal arteries, which are much less likely to be the site of vascular access, orthopedic procedures are more commonly the cause of pseudoaneurysms.…”

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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“…Brimmo et al 9 Anterior tibial 1 Embolisation Darwish et al 5 Anterior tibial 1 Ligation Jacobs et al 13 Anterior tibial 1 Embolisation Jang et al 14 Anterior tibial 1 Compression Kotwal et al 20 Anterior tibial 1 Ligation/vein graft Mariani et al 6 Anterior tibial 1 Ligation/vein graft O'Farrell et al 21 Anterior tibial 1 Ligation/anastomosis Salgado et al 2 Anterior tibial 1 Ligation Yu et al 7 Anterior tibial 1 Ligation Kashir et al 22 Dorsalis pedis 1 Ligation/anastomosis @ C I C E d i z i o n i I n t e r n a z i o n a l i…”

Section: Author Artery Involved Number Of Cases Treatmentmentioning

confidence: 99%

Pseudoaneurysm of peroneal artery after ankle arthroscopy

Battisti

Oliva

Tarantino

et al. 2014

MLTJ

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SummaryBackground: ankle arthroscopy increased its role in the diagnosis and treatment of pathology of the ankle since 1970s. Although the benefits are well established, ankle arthroscopy is associated with a definite risk of complications, especially neurological. The incidence rate of vascular complication after anterior ankle arthroscopy is of 0,008%. Methods: we describe the case of a 66-year-old Caucasian woman who develops a pseudoaneurysm of peroneal artery after a diagnostic ankle arthroscopy and we review literature to analyze incidence of vascular complication, also because we described for the first time the formation of a pseudoaneurysm of peroneal artery. Conclusion: formation of a pseudoaneurysm after anterior ankle arthroscopy is extremely rare but it should be kept in mind by a surgeon. It' quite easy to identify, basing on physical examination, integrated with ultrasound or CT and RMI scan. Also it's important to consider peroneal artery as possible site of formation of pseudoaneurysm.

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Pseudoaneurysms around the foot and ankle: Case report and literature review

Cited by 41 publications

References 32 publications

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

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

Ruptured Pseudoaneurysm of the Dorsalis Pedis Artery Following Ankle Arthroscopy

Pseudoaneurysm of peroneal artery after ankle arthroscopy

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