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Case Report
- Calcified Anterior Tibial Artery Entrapment in Distal Third Tibial Fracture: A Case Report
- Kyu-Hyun Yang, M.D., Ph.D., Yougun Won, M.D., Sang Bum Kim, M.D., Ph.D., Won Kuen Park, M.D., You Sun Jung, M.D.
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Journal of the Korean Fracture Society 2016;29(1):68-72.
DOI: https://doi.org/10.12671/jkfs.2016.29.1.68
Published online: January 19, 2016
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
*Department of Orthopaedic Surgery, College of Medicine, Konyang University, Daejeon, Korea.
- Address reprint requests to: Yougun Won, M.D. Department of Orthopaedic Surgery, Konyang University Hospital, 158 Gwanjeodong-ro, Seo-gu, Daejeon 35365, Korea. Tel: 82-42-600-9862, Fax: 82-42-545-2373, yougunwon@gmail.com
• Received: September 30, 2015 • Revised: October 29, 2015 • Accepted: December 21, 2015
Copyright © 2016 The Korean Fracture Society. All rights reserved.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
- In the distal third of the tibia, the anterior tibial artery runs close to the anterolateral surface of the tibial cortex. In a clinical situation, without vascular evaluation, injury or entrapment of the anterior tibial artery is difficult to detect. Because, an intact dorsalis pedis pulse is supplied with the collateral vessels of the posterior tibial artery. An entrapped anterior tibial artery can be injured during closed reduction in an emergency room or open reduction and internal fixation in the operating room. Care must be taken to prevent iatrogenic anterior tibial artery. In this case, an entrapped anterior tibial artery was observed in a simple radiograph and computed tomograph without contrast media for the vessel. We report on a rare case of calcified anterior tibial artery entrapment in a distal tibial fracture.
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Fig. 1
An 80-year-old female patient with a spiral distal tibial fracture. (A) Antero-posterior view. (B) Lateral view. (C) Oblique view. Entrapped vessel is shown at the fracture site in the plain radiograph (arrow).
Figure & Data
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Fig. 1
An 80-year-old female patient with a spiral distal tibial fracture. (A) Antero-posterior view. (B) Lateral view. (C) Oblique view. Entrapped vessel is shown at the fracture site in the plain radiograph (arrow).
Fig. 2
Preoperative computed tomography axial images show the calcified anterior tibial artery (white arrows) at the fracture site.
Fig. 3
Intraoperative photograph shows entrapment of the anterior tibial artery (arrow).
Fig. 4
(A) Postoperative computed tomography axial images show the reduction of calcified anterior tibial artery (arrow) in the fracture site and the fixation of fracture with locking compression plate. (B) Postoperative plain radiograph shows intact anterior tibial artery (arrow head).
Fig. 1
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Calcified Anterior Tibial Artery Entrapment in Distal Third Tibial Fracture: A Case Report
