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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Bibliographic Details
Published in:Case reports in orthopedics 2018, Vol.2018 (2018), p.1-6
Main Authors: Tonogai, Ichiro, Sairyo, Koichi, Fujimoto, Eiki
Format: Article
Language:English
Subjects:
Ankle
Arthritis
Arthroscopy
Case Report
Case reports
Endoscopic surgery
Fractures
Hemophilia
Hospitals
Joint surgery
Joints
Knee
Ligaments
Osteoarthritis
Pain
Risk factors
Surgery
Tendons
Trauma
Veins & arteries
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Summary: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.
ISSN:2090-6749
2090-6757
DOI:10.1155/2018/9821738