Talar beak-induced intermittent ischemia of the foot

A 44-year-old man presented with symptoms of intermittent ischemia of the right foot. Computed tomography scanning of the right foot revealed a talar beak that had a close anatomic relation with the dorsalis pedis artery. Duplex ultrasound performed during a symptomatic episode confirmed ischemia in...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2020-03, Vol.6 (1), p.118-120
Main Authors: Rotmans, Joris I., van der Wal, Robert J.P., Schepers, Abbey
Format: Article
Language:English
Subjects:
Bone compression
Case report
Dorsalis pedis artery
Intermittent ischemia
Talar beak
Talus
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Description
Summary:A 44-year-old man presented with symptoms of intermittent ischemia of the right foot. Computed tomography scanning of the right foot revealed a talar beak that had a close anatomic relation with the dorsalis pedis artery. Duplex ultrasound performed during a symptomatic episode confirmed ischemia induced by severe vasospasm of the dorsalis pedis artery that normalized 30 minutes later. The talar beak was removed by open surgery that resulted in complete resolution of the patient's symptoms. A talar beak should be considered in intermittent ischemic complaints of the foot in patients without atherosclerosis.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2019.12.006