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Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy.

Authors :
Tonogai I
Fujimoto E
Sairyo K
Source :
Case reports in orthopedics [Case Rep Orthop] 2018 Nov 21; Vol. 2018, pp. 9821738. Date of Electronic Publication: 2018 Nov 21 (Print Publication: 2018).
Publication Year :
2018

Abstract

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.

Details

Language :
English
ISSN :
2090-6749
Volume :
2018
Database :
MEDLINE
Journal :
Case reports in orthopedics
Publication Type :
Report
Accession number :
30584485
Full Text :
https://doi.org/10.1155/2018/9821738