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...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/9821738 |
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| author | Ichiro Tonogai Eiki Fujimoto Koichi Sairyo |
| author_facet | Ichiro Tonogai Eiki Fujimoto Koichi Sairyo |
| author_sort | Ichiro Tonogai |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-34b9aa14a56242f2be4dcd03ed32cdde |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-34b9aa14a56242f2be4dcd03ed32cdde2025-02-03T05:55:19ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/98217389821738Pseudoaneurysm of the Perforating Peroneal Artery following Ankle ArthroscopyIchiro Tonogai0Eiki Fujimoto1Koichi Sairyo2Department of Orthopedics Surgery, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Cardiovascular Surgery, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics Surgery, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanThe 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.http://dx.doi.org/10.1155/2018/9821738 |
| spellingShingle | Ichiro Tonogai Eiki Fujimoto Koichi Sairyo Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy Case Reports in Orthopedics |
| 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 |
| url | http://dx.doi.org/10.1155/2018/9821738 |
| work_keys_str_mv | AT ichirotonogai pseudoaneurysmoftheperforatingperonealarteryfollowinganklearthroscopy AT eikifujimoto pseudoaneurysmoftheperforatingperonealarteryfollowinganklearthroscopy AT koichisairyo pseudoaneurysmoftheperforatingperonealarteryfollowinganklearthroscopy |