Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy

Darwish, Ammar; Ehsan, Omer; Marynissen, Hans; Al‐Khaffaf, Haytham

doi:10.1016/j.arthro.2004.04.074

Cited by 44 publications

(29 citation statements)

References 6 publications

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“…10,14,15 Detailed clinical history taking and physical examination are of fundamental importance for early diagnosis and should take account of time and mechanism of trauma. 8,10,16 Pain, edema and hematoma are the initial symptoms of pseudoaneurysms. Persistence of pain after the trauma, a pulsating mass, systolic murmur, neurological signs and a fall in hemoglobin with no other obvious cause should suggest a diagnostic hypothesis of pseudoaneurysm.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic pseudoaneurysm of medial plantar artery in a child: treatment with percutaneous thrombin injection

Ladeira¹,

Quintella²,

Carvalhido³

et al. 2014

J. vasc. bras.

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Pseudoaneurysms of the medial plantar artery are rare. The authors describe a case of a pseudoaneurysm of the medial plantar artery of a child who had suffered a penetrating laceration injury. Diagnosis can be confirmed using Doppler ultrasound and magnetic resonance angiography. As an alternative to the conventional surgery technique, percutaneous Doppler ultrasound-guided thrombin injection is a safe and effective treatment.Keywords: pseudoaneurysm; medial plantar artery; thrombin; Doppler ultrasound. ResumoO pseudoaneurisma da artéria plantar medial é raro. Os autores relatam um caso de pseudoaneurisma da artéria plantar medial após lesão perfurocortante em criança. O diagnóstico pode ser confirmado por ultrassom com Doppler e angiorressonância magnética. Em contraponto à técnica cirúrgica convencional, o tratamento pode ser feito de maneira efetiva e segura com a injeção percutânea de trombina assistida pelo ultrassom com Doppler. Palavras C A S E R E P O R T Pseudoaneurysm treated with thrombin injectionPhysical examination revealed a pulsating mass, with a diameter of approximately 3 cm. The patient reported pain in response to palpation and the surrounding area was hyperemic, but there was no sign of active infection or bleeding. Femoral and distal pulses were present, there was no cyanosis, trophic lesions or decrease in capillary perfusion. Laboratory test results were within normal limits. Both sensitivity and motricity were preserved.Magnetic resonance angiography of the right foot showed a pseudoaneurysm with a rounded shape, regular outline and well-defined limits located in the plantar region, between the abductor muscles of the fifth toe and the short flexor of the toes. After intravenous administration of contrast medium, the pseudoaneurysm was easily visible and measured at around 24 x 21 x 21 mm. Deeper, the structure extended to the plantar neurovascular bundle and, following the perforation injury to the plantar fascia, there was edema of the short flexor muscles of the toes and of the abductor of the fifth toe, reaching the plantar fat pad and the cutaneous surface. All bones, tendons and ligaments were spared (Figure 1). These findings were corroborated by a Doppler ultrasound, which, in addition to the anatomic details, also showed the dynamics of the medial plantar artery pseudoaneurysm (Figure 2).

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Section: Discussionmentioning

confidence: 99%

Posttraumatic pseudoaneurysm of medial plantar artery in a child: treatment with percutaneous thrombin injection

Ladeira¹,

Quintella²,

Carvalhido³

et al. 2014

J. vasc. bras.

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“…Iatrogenic traumatic pseudoaneurysms in the course of an orthopedic procedure have been described to occur most often after bone nailing, 3 limb-lengthening operations, or arthroplasties. 4,5 To our knowledge, this is the first reported case of pseudoaneurysm as a complication of bone biopsy.…”

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confidence: 82%

Faux anévrysme de l’artère tibiale antérieure après ponction tibiale à l’aiguille True-Cut traité par resection-anastomose artérielle

Tomescot

Mackowiak

Coggia

et al. 2011

Annales de Chirurgie Vasculaire

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“…Anterior tibial artery damage is most likely in this location, because it coincides with the location of the anterolateral arthroscopic portal ( Figure 2B). 2,7,11 In type 3 (high-risk type), the main ATA is located in the safe zone but an innominate branching artery is located on the lateral aspects of the EDL and the PT (dangerous zone) by MRI ( Figure 2C). The reason why we named the group high-risk type is that the branched artery is more likely to maintain a viable foot after injury because of the remaining intact vessel and thus an injury might not be immediately detected.…”

Section: Methodsmentioning

confidence: 99%

“…1 However, little information is available regarding vascular damage during ankle joint arthroscopic surgery. Several authors have described pseudoaneurysm of the anterior tibial artery (ATA) after ankle joint arthroscopic surgery, 2,5,6,[9][10][11]13,17 and we have also experienced 1 case (Figure 1). However, the causes of this type of damage have not been comprehensively analyzed, and little information is available regarding the prevention of pseudoaneurysm of ATA.…”

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confidence: 87%

Is the Anterior Tibial Artery Safe During Ankle Arthroscopy?

et al. 2011

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In 22 (6.2%) of the 358 cases, the ATA and its branches were located near the anterolateral ankle portal, which introduces the risk of vascular damage during arthroscopic surgery. Furthermore, the mean distance between the ATA and the joint capsule was only 2.3 ± 1.1 mm, and thus the ATA is very close to the anterior working space of the ankle joint. Careful preoperative evaluation and an intra-articular procedure may reduce the risk of vascular complications attributable to ankle arthroscopy.

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Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy

Cited by 44 publications

References 6 publications

Posttraumatic pseudoaneurysm of medial plantar artery in a child: treatment with percutaneous thrombin injection

Posttraumatic pseudoaneurysm of medial plantar artery in a child: treatment with percutaneous thrombin injection

Faux anévrysme de l’artère tibiale antérieure après ponction tibiale à l’aiguille True-Cut traité par resection-anastomose artérielle

Is the Anterior Tibial Artery Safe During Ankle Arthroscopy?

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