Anterior Tibial Artery Pseudoaneurysm as a Complication of Anterior Ankle Arthroscopy: A Case Report
DOI:
https://doi.org/10.15417/issn.1852-7434.2026.91.3.2194Keywords:
Pseudoaneurysm, arthroscopy, ankleAbstract
We present the case of an anterior tibial artery pseudoaneurysm as a complication following anterior ankle arthroscopy. This complication is extremely rare and represents a therapeutic challenge. A patient developed progressively worsening pain, limited dorsiflexion, local swelling, and gait claudication two weeks after undergoing anterior ankle arthroscopy for anterior impingement syndrome and an osteochondral lesion, without signs or symptoms of infection. Magnetic resonance imaging (MRI) and ultrasound established the diagnosis of an anterior tibial artery pseudoaneurysm. Treatment consisted of thrombin injection followed by microcoil embolization under angiographic guidance. The outcome was favorable, with resolution of pain, successful treatment of the pseudoaneurysm, and recovery of ankle mobility.
Conclusions: Clinical suspicion is essential in patients presenting with disproportionate pain, swelling, or a pulsatile mass. Early diagnosis and treatment are associated with a better prognosis.
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References
Jacobs E, Groot D, Das M, Hermus JP. Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy. J Foot Ankle Surg 2011;50(3):361-3. https://doi.org/10.1053/j.jfas.2011.01.004 DOI: https://doi.org/10.1053/j.jfas.2011.01.004
Yammine K, Kheir N, Daher J, Naoum J, Assi C. Pseudoaneurysm following ankle arthroscopy: a systematic review of case series. Eur J Orthop Surg Traumatol 2019;29(3):689-96. https://doi.org/10.1007/s00590-018-2354-6 DOI: https://doi.org/10.1007/s00590-018-2324-6
Rodríguez-Merchán EC, Encinas-Ullán CA, Ruiz-Pérez JS, Gómez-Cardero P. Complications of ankle arthroscopy: frequency, prevention, and treatment. EFORT Open Rev 2024;9(1):3-15. https://doi.org/10.1530/EOR-22-0144 DOI: https://doi.org/10.1530/EOR-22-0144
Blázquez Martín T, Iglesias Durán E, San Miguel Campos M. Complications after ankle and hindfoot arthroscopy. Rev Esp Cir Ortop Traumatol 2016;60(6):387-93. https://doi.org/10.1016/j.recot.2016.04.005 DOI: https://doi.org/10.1016/j.recote.2016.09.001
Yañez Arauz JM, Rosales Anderica FE, Lauritto D, Balmaceda MM, Amaya M, Yañez Arauz S. Artroscopia anterior de tobillo. Complicaciones tempranas con técnica sin distracción. Rev Asoc Argent Ortop Traumatol 2019;84(3):236-41. https://doi.org/10.15417/issn.1852-7434.2019.84.3.885 DOI: https://doi.org/10.15417/issn.1852-7434.2019.84.3.885
Pezzullo JA, Dupuy DE, Cronan JJ. Percutaneous injection of thrombin for the treatment of pseudoaneurysms after catheterization: an alternative to sonographically guided compression. AJR Am J Roentgenol 2000;175:1035-40. https://doi.org/10.2214/ajr.175.4.1751035 DOI: https://doi.org/10.2214/ajr.175.4.1751035
Mariani PP, Mancini L, Giorgini TL. Pseudoaneurysm as a complication of ankle arthroscopy. Arthroscopy
;17:400-2. https://doi.org/10.1053/jars.2001.22367 DOI: https://doi.org/10.1053/jars.2001.22367
Jeffery CA, Quinn SJ, Quinn JM. Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy. ANZ J Surg
;84(5):391-3. https://doi.org/10.1111/ans.12280 DOI: https://doi.org/10.1111/ans.12280
Delgado PG. Evaluación del cartílago articular con resonancia magnética. Rev Chil Radiol 2009;15(Supl 1):39-44. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-93082009000400009 DOI: https://doi.org/10.4067/S0717-93082009000400006
Tonogai I, Matsuura T, Iwame T, Wada K, Takasago T, Goto T, et al. Pseudoaneurysm of the anterior tibial artery following ankle arthroscopy in a soccer player. Case Rep Orthop 2017;2017:2865971. https://doi.org/10.1155/2017/2865971 DOI: https://doi.org/10.1155/2017/2865971
Huber JF. Anatomy of the foot and ankle. En: Sarrafian SK (ed). Anatomy of the foot. 2nd ed. Philadelphia: JB Lippincott; 1993, p. 1-10.
Salgado CJ, Mukherjee D, Quist MA, Cero S. Anterior tibial artery pseudoaneurysm after ankle arthroscopy.
Cardiovasc Surg 1998;6:604-6. https://doi.org/10.1177/096721099800600612 DOI: https://doi.org/10.1177/096721099800600612
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