The level of bifurcation of peroneal artery and its implications for posterolateral approach to the ankle: a CT angiography study

Galanakis, Nikolaos; Klontzas, Michail E.; Karantanas, Apostolos H.; Kontakis, Georgios; Sidiropoulou, Barbara; Tosounidis, Theodoros H.

doi:10.1007/s00276-021-02800-y

Cited by 3 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there have been no reports of pseudoaneurysms of the peroneal artery associated with ankle arthrodesis. The anterior perforating branch of the peroneal artery pierces the interosseous membrane approximately 5 cm above the lateral malleolus obliquely, passes anteriorly, and runs on the anterior aspect of the distal tibiofibular syndesmosis 12 . Therefore, the anterior perforating branch of the peroneal artery can be damaged by screw insertion from the anterolateral distal tibia.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the Peroneal Artery After Ankle Arthrodesis Treated by Endovascular Coil Embolization

Kasai

Higashida

Hayashi

et al. 2022

JBJS Case Connector

View full text Add to dashboard Cite

Case:Pseudoaneurysms of the peroneal artery around the ankle joint have rarely been reported. We present the case of a 64-year-old man with a pseudoaneurysm of the anterior perforating branch of the peroneal artery associated with a screw inserted from the anterolateral distal tibia during ankle arthrodesis. Endovascular treatment with selective catheterization and coil embolization was successfully performed. The ankle joint achieved bone union without delay, and the pseudoaneurysm did not recur at the 18-month follow-up.Conclusion:This is the first report describing a pseudoaneurysm of the peroneal artery after ankle arthrodesis. Successful outcomes can be achieved by endovascular treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the Peroneal Artery After Ankle Arthrodesis Treated by Endovascular Coil Embolization

Kasai

Higashida

Hayashi

et al. 2022

JBJS Case Connector

View full text Add to dashboard Cite

show abstract

The arterial risk posed by the posterolateral approach: An anatomical cadaveric study of the fibular artery and its variability

Heeran,

Gomaa,

Mason

et al. 2023

Clinical Anatomy

View full text Add to dashboard Cite

The posterior malleolus of the tibia is commonly accessed surgically through the posterolateral approach. This approach gives good access to the fibula and lateral aspect of the posterior tibia, however; there is little known on the vascular risks with this approach. The aim of this study was to assess and describe the anatomy of the fibular artery and its branches at the ankle region and relate it to the surgical access of the posterior malleolus. Eleven cadaveric foot and ankle specimens were dissected in layers, preserving the fibular artery, anterior tibial artery (ATA), and posterior tibial artery (PTA). Five distinct variations were found in the fibular artery: variable terminal branching with a hyperplastic fibular artery; a superficially located fibular artery; variation in the level and number of anastomoses; variation in the muscular branches; and a variable anterior perforating branch. The mean proximal distance from a horizontal line drawn through the medial protuberance of the medial malleolus of the tibia (horizontal line reference point—HLRP) to the posterior communicating branch of the fibular artery was 37.93 mm (range 19.03–85.43 mm). The mean proximal distance between HLRP and the anterior perforating branch of the fibular artery was 44.23 mm (range 35.44–62.32 mm). In 10 specimens, the fibular artery was immobile distal to its anterior perforating branch. The posterolateral approach specifically puts the fibular artery at risk and knowledge of its anatomy and variability is important when undertaking this approach. Understanding the common variations within the ankle's arterial anatomy can help surgeons protect these vessels from damage during the surgical approach.

show abstract

Peroneal artery safe zone in the posterolateral approach to the distal tibia: A CT angiogram based anatomical study

Mousa

Singisetti

2022

Injury

View full text Add to dashboard Cite

The level of bifurcation of peroneal artery and its implications for posterolateral approach to the ankle: a CT angiography study

Cited by 3 publications

References 12 publications

Pseudoaneurysm of the Peroneal Artery After Ankle Arthrodesis Treated by Endovascular Coil Embolization

Pseudoaneurysm of the Peroneal Artery After Ankle Arthrodesis Treated by Endovascular Coil Embolization

The arterial risk posed by the posterolateral approach: An anatomical cadaveric study of the fibular artery and its variability

Peroneal artery safe zone in the posterolateral approach to the distal tibia: A CT angiogram based anatomical study

Contact Info

Product

Resources

About