Open AccessPseudoaneurysm of the anterior tibial artery: A rare complication of proximal tibial Steinman pin insertion
Author(s) -
Tarun Suri,
V. S. Dabas,
Sumit Sural,
Anil Dhal
Publication year - 2011
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.77140
Subject(s) - medicine , pseudoaneurysm , anterior tibial artery , complication , surgery , posterior tibial artery , tibia , magnetic resonance imaging , radiology , artery
An anterior tibial artery pseudoaneurysm is a rare and unexpected complication of Steinmann pin insertion. We describe the case of an 18-year-old boy, who sustained such an injury to the anterior tibial artery during this procedure. Diagnosis was confirmed on a magnetic resonance (MR) angiogram. Aneurysmal sac excision with lateral repair of the vessel wall was performed. Postoperatively, a good flow was documented on a follow-up MR angiogram. This case highlights a major and unexpected complication of a so-called minor procedure. Too posterior a pin placement in the proximal tibia should be avoided to prevent such injuries.