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Traumatic Aneurysm of Perforating Peroneal Artery ARTERIAL BLEEDING-CAUSE OF SEVERE PAIN FOLLOWING INVERSION, PLANTAR FLEXION, ANKLE SPRAINS
DENNIS W. MAGUIRE; JAMES M. HUFFER; RICHARD A. AHLSTRAND; ANDREW B. CRUMMYJR.
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From the Division of Orthopaedic Surgery, Department of Radiology, University of Wisconsin, Madison
1972 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1972 Mar 01;54(2):409-412
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Abstract

1. Anomalous arterial circulation at the ankle is present in 3 per cent of the population, and predisposes to arterial injury by severe inversion, plantar flexion of the ankle.

2. Arterial bleeding should be considered in the differential diagnosis of severe pain following inversion, plantar flexion, ankle sprains.

3. A case is presented with a post-traumatic false aneurysm of the perforating peroneal artery. This was associated with rupture of the anterior fibulotalar ligament, the anterior portion of the talocalcaneal ligament, and anterolateral ankle joint capsule. The patient had a satisfactory functional result following resection of the aneurysm and repair of the artery and damaged ligaments.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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