Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player
Ankle arthroscopy carries a lower risk of vascular complications when standard anterolateral and anteromedial portals are used. However, the thickness of the fat pad at the anterior ankle affords little protection for the thin-walled anterior tibial artery, rendering it susceptible to indirect damag...
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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2017/2865971 |
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author | Ichiro Tonogai Tetsuya Matsuura Toshiyuki Iwame Keizo Wada Tomoya Takasago Tomohiro Goto Daisuke Hamada Yohei Kawatani Eiki Fujimoto Tetsuya Kitagawa Shyoichiro Takao Seiji Iwamoto Moriaki Yamanaka Masafumi Harada Koichi Sairyo |
author_facet | Ichiro Tonogai Tetsuya Matsuura Toshiyuki Iwame Keizo Wada Tomoya Takasago Tomohiro Goto Daisuke Hamada Yohei Kawatani Eiki Fujimoto Tetsuya Kitagawa Shyoichiro Takao Seiji Iwamoto Moriaki Yamanaka Masafumi Harada Koichi Sairyo |
author_sort | Ichiro Tonogai |
collection | DOAJ |
description | Ankle arthroscopy carries a lower risk of vascular complications when standard anterolateral and anteromedial portals are used. However, the thickness of the fat pad at the anterior ankle affords little protection for the thin-walled anterior tibial artery, rendering it susceptible to indirect damage during procedures performed on the anterior ankle joint. To our knowledge, only 11 cases of pseudoaneurysm involving the anterior tibial artery after ankle arthroscopy have been described in the literature. Here we reported a rare case of a 19-year-old soccer player who presented with pseudoaneurysm of the anterior tibial artery following ankle arthroscopy using an ankle distraction method and underwent anastomosis for the anterior tibial artery injury. Excessive distraction of the ankle puts the neurovascular structures at greater risk for iatrogenic injury of the anterior tibial artery during ankle arthroscopy. Surgeons should look carefully for postoperative ankle swelling and pain after ankle arthroscopy. |
format | Article |
id | doaj-art-997c5ccf73c5429184244995d07bc59b |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-997c5ccf73c5429184244995d07bc59b2025-02-03T01:20:53ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/28659712865971Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer PlayerIchiro Tonogai0Tetsuya Matsuura1Toshiyuki Iwame2Keizo Wada3Tomoya Takasago4Tomohiro Goto5Daisuke Hamada6Yohei Kawatani7Eiki Fujimoto8Tetsuya Kitagawa9Shyoichiro Takao10Seiji Iwamoto11Moriaki Yamanaka12Masafumi Harada13Koichi Sairyo14Department of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Cardiovascular Surgery, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Cardiovascular Surgery, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Cardiovascular Surgery, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanDepartment of Radiology, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Radiology, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Radiology, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Radiology, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, JapanAnkle arthroscopy carries a lower risk of vascular complications when standard anterolateral and anteromedial portals are used. However, the thickness of the fat pad at the anterior ankle affords little protection for the thin-walled anterior tibial artery, rendering it susceptible to indirect damage during procedures performed on the anterior ankle joint. To our knowledge, only 11 cases of pseudoaneurysm involving the anterior tibial artery after ankle arthroscopy have been described in the literature. Here we reported a rare case of a 19-year-old soccer player who presented with pseudoaneurysm of the anterior tibial artery following ankle arthroscopy using an ankle distraction method and underwent anastomosis for the anterior tibial artery injury. Excessive distraction of the ankle puts the neurovascular structures at greater risk for iatrogenic injury of the anterior tibial artery during ankle arthroscopy. Surgeons should look carefully for postoperative ankle swelling and pain after ankle arthroscopy.http://dx.doi.org/10.1155/2017/2865971 |
spellingShingle | Ichiro Tonogai Tetsuya Matsuura Toshiyuki Iwame Keizo Wada Tomoya Takasago Tomohiro Goto Daisuke Hamada Yohei Kawatani Eiki Fujimoto Tetsuya Kitagawa Shyoichiro Takao Seiji Iwamoto Moriaki Yamanaka Masafumi Harada Koichi Sairyo Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player Case Reports in Orthopedics |
title | Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player |
title_full | Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player |
title_fullStr | Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player |
title_full_unstemmed | Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player |
title_short | Pseudoaneurysm of the Anterior Tibial Artery following Ankle Arthroscopy in a Soccer Player |
title_sort | pseudoaneurysm of the anterior tibial artery following ankle arthroscopy in a soccer player |
url | http://dx.doi.org/10.1155/2017/2865971 |
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