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Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy
The use of standard anterolateral and anteromedial portals in ankle arthroscopy results in reduced risk of vascular complications. Anatomical variations of the arterial network of the foot and ankle might render the vessels more susceptible to injury during procedures involving the anterior ankle jo...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280239/ https://www.ncbi.nlm.nih.gov/pubmed/30584485 http://dx.doi.org/10.1155/2018/9821738 |
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author | Tonogai, Ichiro Fujimoto, Eiki Sairyo, Koichi |
author_facet | Tonogai, Ichiro Fujimoto, Eiki Sairyo, Koichi |
author_sort | Tonogai, Ichiro |
collection | PubMed |
description | The use of standard anterolateral and anteromedial portals in ankle arthroscopy results in reduced risk of vascular complications. Anatomical variations of the arterial network of the foot and ankle might render the vessels more susceptible to injury during procedures involving the anterior ankle joint. The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery after ankle arthroscopy. Here, we report the unusual case of a 48-year-old man in general good health with the absence of the anterior tibial artery and posterior tibial artery. The patient presented with a pseudoaneurysm of the perforating peroneal artery following ankle arthroscopy for traumatic osteoarthritis associated with nonunion of the medial malleolus. The perforating peroneal artery injury was repaired by performing end-to-end anastomosis. The perforating peroneal artery is at higher risk for iatrogenic injury during ankle arthroscopy in the presence of abnormal arterial variations of the foot and ankle, particularly the absence of the anterior tibial artery and posterior tibial artery. Before ankle arthroscopy, surgeons should therefore carefully observe the course of the perforating peroneal artery on enhanced 3-dimensional computed tomography, especially in patients with a history of trauma to the ankle joint. |
format | Online Article Text |
id | pubmed-6280239 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-62802392018-12-24 Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy Tonogai, Ichiro Fujimoto, Eiki Sairyo, Koichi Case Rep Orthop Case Report The use of standard anterolateral and anteromedial portals in ankle arthroscopy results in reduced risk of vascular complications. Anatomical variations of the arterial network of the foot and ankle might render the vessels more susceptible to injury during procedures involving the anterior ankle joint. The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery after ankle arthroscopy. Here, we report the unusual case of a 48-year-old man in general good health with the absence of the anterior tibial artery and posterior tibial artery. The patient presented with a pseudoaneurysm of the perforating peroneal artery following ankle arthroscopy for traumatic osteoarthritis associated with nonunion of the medial malleolus. The perforating peroneal artery injury was repaired by performing end-to-end anastomosis. The perforating peroneal artery is at higher risk for iatrogenic injury during ankle arthroscopy in the presence of abnormal arterial variations of the foot and ankle, particularly the absence of the anterior tibial artery and posterior tibial artery. Before ankle arthroscopy, surgeons should therefore carefully observe the course of the perforating peroneal artery on enhanced 3-dimensional computed tomography, especially in patients with a history of trauma to the ankle joint. Hindawi 2018-11-21 /pmc/articles/PMC6280239/ /pubmed/30584485 http://dx.doi.org/10.1155/2018/9821738 Text en Copyright © 2018 Ichiro Tonogai et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Tonogai, Ichiro Fujimoto, Eiki Sairyo, Koichi Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy |
title | Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy |
title_full | Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy |
title_fullStr | Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy |
title_full_unstemmed | Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy |
title_short | Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy |
title_sort | pseudoaneurysm of the perforating peroneal artery following ankle arthroscopy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280239/ https://www.ncbi.nlm.nih.gov/pubmed/30584485 http://dx.doi.org/10.1155/2018/9821738 |
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