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Journal of Bone and Joint Surgery, 1972;54:409-412.
© 1972 by The Journal of Bone and Joint Surgery, Inc

Traumatic Aneurysm of Perforating Peroneal Artery

ARTERIAL BLEEDING-CAUSE OF SEVERE PAIN FOLLOWING INVERSION, PLANTAR FLEXION, ANKLE SPRAINS

DENNIS W. MAGUIRE M.D.1, JAMES M. HUFFER M.D.1, RICHARD A. AHLSTRAND M.D.1, and ANDREW B. CRUMMY JR. M.D.1

1 From the Division of Orthopaedic Surgery, Department of Radiology, University of Wisconsin, Madison

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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