Aslım Erdal
Department of Cardiovascular Surgery, Acıbadem University Health Services Vocational School, Acıbadem Fulya Hospital, İstanbul, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jan 9;26(1):153-156. doi: 10.5606/tgkdc.dergisi.2018.14719. eCollection 2018 Jan.
A 24-year-old male professional soccer player sustained a right ankle contusion due to blunt kick toward the medial malleolus level during a soccer game. He stopped playing due to pain, coldness, and paresthesia on his right foot. Computed tomography angiography revealed a 4.5 cm occlusion on the posterior tibial artery at the right ankle level of which the distal segment was filled with collateral arteries. After the diagnosis of the traumatic occlusion, the patient underwent angiography for recanalization with thrombolysis in an external center, which was unsuccessful. Crural artery injuries after blunt sport traumas are very rare. In knee and ankle traumas with ischemic symptoms, vascular injuries should be excluded with prompt examination.
一名24岁的职业足球运动员在一场足球比赛中,因右内踝水平受到钝性踢击而导致右脚踝挫伤。他因右脚疼痛、发凉和感觉异常而停止比赛。计算机断层血管造影显示,右踝关节水平的胫后动脉有4.5厘米的闭塞,其远端段由侧支动脉供血。在诊断为创伤性闭塞后,患者在外院接受了血管造影及溶栓再通治疗,但未成功。钝性运动创伤后胫动脉损伤非常罕见。在伴有缺血症状的膝关节和踝关节创伤中,应通过快速检查排除血管损伤。