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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Main Authors: 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
Format: Article
Language:English
Published: Wiley 2017-01-01
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.
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institution Kabale University
issn 2090-6749
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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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