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Pseudoaneurysm of the Anterior Tibial Artery After Ankle Arthroscopy Treated with Ultrasound-Guided Compression TherapyA Case Report
Eui-Chan Jang, PhD, MD1; Byung Kook Kwak, PhD, MD1; Kwang-Sup Song, PhD, MD1; Ho-Joong Jung, PhD, MD1; Jae-Sung Lee, MD1; Jae Jun Yang, MD1
1 Departments of Orthopaedic Surgery (E.-C.J., K.-S.S., H.-J.J., J.-S.L., and J.J.Y.) and Radiology (B.K.K.), Chung-Ang University Hospital, Heukseok-dong, Dongjak-gu, 224-1, Seoul, Republic of Korea. E-mail address for K.-S. Song: ksong70@cau.ac.kr
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Departments of Orthopaedic Surgery and Radiology, Chung-Ang University, College of Medicine, Seoul, Republic of Korea

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2008 Oct 01;90(10):2235-2239. doi: 10.2106/JBJS.G.01409
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Most pseudoaneurysms forming after arthroscopic surgery have involved the popliteal vessels after knee arthroscopy1,2. However, the cases of five patients who had a pseudoaneurysm of the anterior tibial artery after ankle arthroscopy have been reported in the English-language literature and were found after a search of the PubMed database with use of three keywords: pseudoaneurysm, ankle, and arthroscopy1,3-6. Although the cases of two patients involved anticoagulation therapy5 and hemophilia3, which increase the risk of arterial injury, iatrogenic trauma may have occurred during portal placement or operative procedures, such as synovectomy and osteophyte resection. All five patients described in the literature were treated by different surgical techniques. We present the case of a patient who had delayed detection of an anterior tibial artery pseudoaneurysm with osseous erosion after ankle arthroscopy. The condition was treated effectively with ultrasound-guided compression therapy. The patient was informed that data concerning the case would be submitted for publication, and he consented.
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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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