{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T09:08:28Z","timestamp":1782983308051,"version":"3.54.5"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Titanium plates used for the internal fixation of long bone fractures cause significant artefact on CT scans but have not been reported to affect digital subtraction CT angiography. We present a patient with clinical suspicion of popliteal artery injury following a high tibial osteotomy. The osteotomy was stabilised with a titanium locking plate. During the digital subtraction process used to produce reconstruction CT angiography, removal of artefact caused by the titanium plate produced CT images mimicking the appearance of a popliteal artery dissection. The imaging inaccuracy was realised prior to the patient undergoing further intervention. We highlight the potential error caused by titanium plates on digital subtraction CT angiography and recommend careful analysis of such images prior to further treatment.<\/jats:p>","DOI":"10.1136\/bcr-2012-008409","type":"journal-article","created":{"date-parts":[[2013,4,6]],"date-time":"2013-04-06T00:32:32Z","timestamp":1365208352000},"page":"bcr2012008409","source":"Crossref","is-referenced-by-count":2,"title":["Titanium plate artefact mimicking popliteal artery dissection on digital subtraction CT angiography"],"prefix":"10.1136","volume":"2013","author":[{"given":"Timothy","family":"Woodacre","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Devon and Exeter Hospital, Exeter, Devon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Wienand-Barnett","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Devon and Exeter Hospital, Exeter, Devon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,4,5]]},"reference":[{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.1","doi-asserted-by":"crossref","first-page":"229","DOI":"10.2217\/iim.12.13","article-title":"CT artifacts: causes and reduction techniques","volume":"2013","author":"Boas","year":"2012","journal-title":"Imaging Med"},{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.2","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1007\/s00330-011-2370-5","article-title":"Metal artefact reduction in gemstone spectral imaging dual-energy CT with and without metal artefact reduction software","volume":"2013","author":"Lee","year":"2012","journal-title":"Eur Radiol"},{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.3","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1302\/0301-620X.77B3.7744920","article-title":"Danger to the popliteal artery in high tibial osteotomy","volume":"2013","author":"Zaidi","year":"1995","journal-title":"J Bone Joint Surg Br"},{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.4","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1148\/radiol.11110486","article-title":"Digital subtraction CT angiography for detection of intracranial aneurysms: comparison with three-dimensional digital subtraction angiography","volume":"2013","author":"Lu","year":"2012","journal-title":"Radiology"},{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.5","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1055\/s-2007-1015562","article-title":"Spiral CT angiography in demonstration of cerebral aneurysms before and after treatment with titanium clips","volume":"2013","author":"Becker","year":"1997","journal-title":"Rofo"},{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.6","first-page":"255","article-title":"Complications of closing wedge high tibial osteotomy","volume":"2013","author":"James","year":"2010","journal-title":"Int Orthop"},{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.7","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1302\/0301-620X.68B3.3733817","article-title":"Weakness of foot dorsiflexion and changes in compartment pressures after tibial osteotomy","volume":"2013","author":"Gibson","year":"1986","journal-title":"J Bone Joint Surg Br"},{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.8","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1093\/bja\/aen330","article-title":"Acute compartment syndrome of the lower limb and the effect of post operative analgesia on diagnosis","volume":"2013","author":"Mar","year":"2009","journal-title":"Br J Anaesth"},{"key":"2025082723282891000_2013.apr05_1.bcr2012008409.9","first-page":"60","article-title":"Minimizing clip artifacts in multi CT angiography of clipped patients","volume":"2013","author":"Van der Schaafa","year":"2006","journal-title":"AJNR Am J Neuroradiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-008409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:28:37Z","timestamp":1756362517000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-008409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,5]]},"references-count":9,"alternative-id":["10.1136\/bcr-2012-008409"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-008409","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,5]]}}}