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Pathological Fracture of the Fibula Due to a Late Presenting Posterior Tibial Artery PseudoaneurysmA Case Report
Pradeep K. Singh, MS1; Pankaj Banode, DNB1; Sandeep Shrivastva, MS1; Rajesh Dulani, MS1
1 Department of Orthopaedics and Trauma (P.K.S., S.S., and R.D.) and Department of Interventional Radiology (P.B.), Jawahar Lal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, DMIMS, Wardha, India 442004. E-mail address for P.K. Singh: drpradeepsingh@gmail.com. E-mail address for P. Banode: drpjbanode@gmail.com. E-mail address for S. Shrivastva: drsandeepshrivastava@yahoo.com. E-mail address for R. Dulani: rajeshkdulani@rediffmail.com
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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.

Investigation performed at Jawahar Lal Nehru Medical College and Acharya Vinoba Bhave Rural Hospital, Wardha, India

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 May 18;93(10):e54 1-4. doi: 10.2106/JBJS.J.00998
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Accidental penetrating injury of the leg is common in the emergency room setting, and some patients have no bone injury on radiographs. We report a delayed sequel of vascular injury to the posterior tibial artery, following penetrating injury to the leg, which was later additionally complicated by pathological fracture of the proximal part of the fibula. Early diagnosis is important to provide timely treatment. The case of this patient illustrates that the delayed sequel of vascular injury may be confused clinically and on radiographs with a soft-tissue neoplasm. The patient was informed that data concerning the case would be submitted for publication, and he consented.
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