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Skeletal Radiology

, Volume 48, Issue 3, pp 451–455 | Cite as

Delayed intra-articular pseudoaneurysm of the dorsalis pedis artery following arthroscopic Broström results in an unusual clinical presentation

  • Samia Sayyid
  • Sameh Labib
  • Yazan Duwayri
  • Felix Gonzalez
  • Adam Daniel SingerEmail author
Case Report
  • 61 Downloads

Abstract

Pseudoaneurysms of the dorsalis pedis artery are rare complications following arthroscopic surgery. This manuscript reports a case of an intra-articular pseudoaneurysm presenting nearly 5 months following an arthroscopic Broström procedure. The rarity of this complication and the patient’s unusual clinical presentation prompted the use of imaging to diagnose the problem and guide management. Although imaging artifacts are often a nuisance, recognition of clinically relevant artifacts can help make a diagnosis. This case illustrates such a situation.

Keywords

Pseudoaneurysm Dorsalis pedis artery Imaging artifacts Arthroscopic Broström procedure 

Notes

Compliance with ethical standards

Disclosures

The authors have no relevant conflicts to disclose.

References

  1. 1.
    Battisti D, Oliva F, Tarantino U, Nicola M. Pseudoaneurysm of peroneal artery after ankle arthroscopy. Muscles Ligaments Tendons J. 2014;4:269–72.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Brimmo OA, Parekh SG. Pseudoaneurysm as a complication of ankle arthroscopy. Indian J Orthop. 2010;44:108–11.  https://doi.org/10.4103/0019-5413.58614.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Suzangar M, Rosenfeld P. Ankle arthroscopy: is preoperative marking of the superficial peroneal nerve important? J Foot Ankle Surg. 2012;51:179–81.  https://doi.org/10.1053/j.jfas.2011.11.003.CrossRefPubMedGoogle Scholar
  4. 4.
    Yu JL, Ho E, Wines AP. Pseudoaneurysms around the foot and ankle: case report and literature review. Foot Ankle Surg. 2013;19:194–8.  https://doi.org/10.1016/j.fas.2012.08.003.CrossRefPubMedGoogle Scholar
  5. 5.
    Jacobs E, Groot D, Das M, Hermus JP. Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy. J Foot Ankle Surg. 2011;50:361–3.  https://doi.org/10.1053/j.jfas.2011.01.004.CrossRefPubMedGoogle Scholar
  6. 6.
    Schaarschmidt BM, Heuser LJ. Diagnostics and treatment of pseudoaneurysms of the distal anterior tibial artery after upper tibiotalar joint arthroscopy: a case report and a review of literature. Rofo. 2013;185:169–71.  https://doi.org/10.1055/s-0032-1325442.CrossRefPubMedGoogle Scholar
  7. 7.
    Mariani PP, Mancini L, Giorgini TL. Pseudoaneurysm as a complication of ankle arthroscopy. Arthroscopy. 2001;17:400–2.CrossRefGoogle Scholar
  8. 8.
    Salgado CJ, Mukherjee D, Quist MA, Cero S. Anterior tibial artery pseudoaneurysm after ankle arthroscopy. Cardiovasc Surg. 1998;6:604–6.CrossRefGoogle Scholar
  9. 9.
    Jang EC, Kwak BK, Song KS, Jung HJ, Lee JS, Yang JJ. Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy treated with ultrasound-guided compression therapy. A case report. J Bone Joint Surg Am. 2008;90:2235–9.  https://doi.org/10.2106/jbjs.g.01409.CrossRefPubMedGoogle Scholar
  10. 10.
    Hua Y, Chen S, Li Y, Chen J, Li H. Combination of modified Bröstrom procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms. Arthroscopy. 2010;26:524–8.  https://doi.org/10.1016/j.arthro.2010.02.002.CrossRefPubMedGoogle Scholar
  11. 11.
    Lui TH. Modified arthroscopic Brostrom procedure with bone tunnels. Arthrosc Tech. 2016;5:e775–80.  https://doi.org/10.1016/j.eats.2016.03.003.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Lui TH. Modified arthroscopic Brostrom procedure. Foot Ankle Surg. 2015;21:216–9.  https://doi.org/10.1016/j.fas.2015.01.008.CrossRefPubMedGoogle Scholar
  13. 13.
    Yeo ED, Lee KT, Sung IH, Lee SG, Lee YK. Comparison of all-inside arthroscopic and open techniques for the modified Broström procedure for ankle instability. Foot Ankle Int. 2016;37:1037–45.  https://doi.org/10.1177/1071100716666508.CrossRefPubMedGoogle Scholar
  14. 14.
    Jeffery CA, Quinn SJ, Quinn JM. Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy. ANZ J Surg. 2014;84:391–3.  https://doi.org/10.1111/ans.12280.CrossRefPubMedGoogle Scholar
  15. 15.
    Davis M, Brooks D, Bryceson W. Pseudo-aneurysm: a rare complication of ankle arthroscopy. J Orthop Sports Phys Ther. 2017;47:42.  https://doi.org/10.2519/jospt.2017.5544.CrossRefPubMedGoogle Scholar
  16. 16.
    Verbrugghe P, Vandekerkhof J, Baeyens I. Pseudoaneurysm of the anterior tibial artery: a complication of ankle arthroscopy. Acta Chir Belg. 2011;111:410–1.CrossRefGoogle Scholar
  17. 17.
    Naqvi S, Khalid S, Beg M, Haseen M, Ali E. Long-standing pseudoaneurysm of proximal brachial artery mimicking soft tissue neoplasm. Ind J Vasc Endovasc Surg. 2017;4:66–8.  https://doi.org/10.4103/ijves.ijves_59_16.CrossRefGoogle Scholar
  18. 18.
    Shah A, Botchu R, Dunlop D, Davies AM, James SL. Metal-on-metal total hip arthroplasty associated with adverse local tissue reaction and pseudoaneurysm of the superior gluteal artery: a case report and literature review. Surg J (New York, NY). 2016:2:e113–8.  https://doi.org/10.1055/s-0036-1593855.CrossRefGoogle Scholar
  19. 19.
    Samim M, Mandell J, Smith S, Kapoor N, Czuczman G. Arterial pseudoaneurysms of the shoulder mimicking other entities: utilization of pulsation artifact on musculoskeletal MR for accurate diagnosis in 2 cases. Skeletal Radiol. 2017;46:1119–24.  https://doi.org/10.1007/s00256-017-2622-9.CrossRefPubMedGoogle Scholar
  20. 20.
    Arshad FH, Sutijono D, Moore CL. Emergency ultrasound diagnosis of a pseudoaneurysm associated with an arteriovenous fistula. Acad Emerg Med. 2010;17:e43–5.  https://doi.org/10.1111/j.1553-2712.2010.00758.x.CrossRefPubMedGoogle Scholar
  21. 21.
    Hall HA, Minc S, Babrowski T. Peripheral artery aneurysm. Surg Clin North Am. 2013;93:911–23, ix.  https://doi.org/10.1016/j.suc.2013.04.008.CrossRefPubMedGoogle Scholar
  22. 22.
    Lupattelli T. The yin-yang sign. Radiology. 2006;238:1070–1.  https://doi.org/10.1148/radiol.2383031884.CrossRefPubMedGoogle Scholar

Copyright information

© ISS 2018

Authors and Affiliations

  • Samia Sayyid
    • 1
  • Sameh Labib
    • 2
  • Yazan Duwayri
    • 3
  • Felix Gonzalez
    • 1
  • Adam Daniel Singer
    • 1
    • 4
    Email author
  1. 1.Department of Radiology and Imaging Sciences, Division of Musculoskeletal ImagingEmory University HospitalAtlantaUSA
  2. 2.Department of OrthopedicsEmory University HospitalAtlantaUSA
  3. 3.Department of Surgery, Division of Vascular Surgery and Endovascular TherapyEmory University HospitalAtlantaUSA
  4. 4.Department of Radiology and Imaging Sciences Section of Musculoskeletal ImagingEmory University HospitalAtlantaUSA

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