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Slow progressive popliteal artery insufficiency after neglected proximal tibial physeal fracture: a case report

Shinomiya, Rikuoa; Sunagawa, Torua; Nakashima, Yukoa; Nakabayashi, Akihirob; Makitsubo, Manamia; Adachi, Nobuoa

Journal of Pediatric Orthopaedics B: January 2018 - Volume 27 - Issue 1 - p 35–39
doi: 10.1097/BPB.0000000000000379
KNEE & LEG

Popliteal artery injury is most commonly associated with high-energy trauma, which is easily diagnosed upon initial physical examination. However, in some situations, the diagnosis of arterial injury is delayed because of slow progression of arterial insufficiency, which may lead to limb amputation. We report a rare case of popliteal arterial occlusion with the presence of arterial pulses during initial assessment, resulting from a neglected proximal ibial physis fracture. This case shows that even in the presence of foot pulses, the surgeon must consider the possibility of a popliteal artery damage whenever trauma is seen near the knee joint.

aDepartment of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University

bDepartment of Orthopaedic Surgery, Hiroshima Kyoritsu Hospital, Hiroshima, Japan

Correspondence to Rikuo Shinomiya, MD, Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan Tel: +81 82 257 5233; fax: +81 82 257 5234; e-mail: shinomi0123@yahoo.co.jp

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