{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T08:44:42Z","timestamp":1762505082905},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2005,10,14]],"date-time":"2005-10-14T00:00:00Z","timestamp":1129248000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Emerg Med"],"published-print":{"date-parts":[[2005,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Ankle pain and swelling following sports injuries are common presenting complaints to the accident and emergency department. Frequently these are diagnosed as musculoskeletal injuries, even when no definitive cause is found. Vascular injuries following trauma are uncommon and are an extremely rare cause of ankle swelling and pain. These injuries may however be limb threatening and are important to diagnose early, in order that appropriate treatment can be delivered. We highlight the steps to diagnosis of these injuries, and methods of managing these injuries. It is important for clinicians to be aware of the potential for this injury in patients with seemingly innocuous trauma from sports injuries, who have significant ankle pain and swelling.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>A young, professional sportsman presented with a swollen, painful ankle after an innocuous hyper-plantar flexion injury whilst playing football, which was initially diagnosed as a ligamentous injury after no bony injury was revealed on X-Ray. He returned 2 days later with a large ulcer at the lateral malleolus and further investigation by duplex ultrasound and transfemoral arteriogram revealed a Pseudo-Aneurysm of the Anterior Tibial Artery. This was initially managed with percutaneous injection of thrombin, and later open surgery to ligate the feeding vessel. The patient recovered fully and was able to return to recreational sport.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Vascular injuries remain a rare cause of ankle pain and swelling following sports injuries, however it is important to consider these injuries when no definite musculo-skeletal cause is found. Ultrasound duplex and Transfemoral arteriogram are appropriate, sensitive modalities for investigation, and may allow novel treatment to be directed percutaneously. Early diagnosis and intervention are essential for the successful outcome in these patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1471-227x-5-9","type":"journal-article","created":{"date-parts":[[2005,10,15]],"date-time":"2005-10-15T06:14:11Z","timestamp":1129356851000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Pseudo-aneurysm of the anterior tibial artery, a rare cause of ankle swelling following a sports injury"],"prefix":"10.1186","volume":"5","author":[{"given":"Conor D","family":"Marron","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damian","family":"McKay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eamon","family":"McAteer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"WJ Ivan","family":"Stirling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2005,10,14]]},"reference":[{"key":"18_CR1","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/S0095-4543(21)00142-1","volume":"19","author":"LA Wilkerson","year":"1992","unstructured":"Wilkerson LA: Ankle injuries in athletes. Prim Care. 1992, 19: 377-392.","journal-title":"Prim Care"},{"key":"18_CR2","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1097\/00005131-199909000-00010","volume":"13","author":"RCJ Rooney","year":"1999","unstructured":"Rooney RCJ, Rooney RC: Anterior tibial aneurysm following inversion injury to the ankle. J Orthop Trauma. 1999, 13: 511-513. 10.1097\/00005131-199909000-00010.","journal-title":"J Orthop Trauma"},{"key":"18_CR3","first-page":"121","volume":"80","author":"S Sriussadaporn","year":"1997","unstructured":"Sriussadaporn S: Arterial injuries of the lower extremity from blunt trauma. J Med Assoc Thai. 1997, 80: 121-129.","journal-title":"J Med Assoc Thai"},{"key":"18_CR4","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1007\/BF00426187","volume":"113","author":"M Sarungi","year":"1994","unstructured":"Sarungi M, Milassin P, Csaszar J, Sandor L: Arterial pseudoaneurysm of the ankle after plantar flexion-inversion injury. A rare complication and its non-invasive diagnosis. Arch Orthop Trauma Surg. 1994, 113: 349-350. 10.1007\/BF00426187.","journal-title":"Arch Orthop Trauma Surg"},{"key":"18_CR5","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1007\/s100169900304","volume":"13","author":"PA Skudder","year":"1999","unstructured":"Skudder PA, Gelfand ML, Blumenberg RM, Fulco J: Tibial artery false aneurysm: uncommon result of blunt injury occurring during athletics. Ann Vasc Surg. 1999, 13: 589-591. 10.1007\/s100169900304.","journal-title":"Ann Vasc Surg"},{"key":"18_CR6","first-page":"209","volume":"56","author":"A Vasilakis","year":"1990","unstructured":"Vasilakis A, Jackson RJ, Rozar GEJ, Murray GF: Revascularization of a symptomatic pseudoaneurysm of the anterior tibial artery. 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Arch Surg. 1966, 92: 13-19.","journal-title":"Arch Surg"}],"container-title":["BMC Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-227X-5-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-227X-5-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-227X-5-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-227X-5-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T21:20:18Z","timestamp":1630444818000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcemergmed.biomedcentral.com\/articles\/10.1186\/1471-227X-5-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,10,14]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,12]]}},"alternative-id":["18"],"URL":"https:\/\/doi.org\/10.1186\/1471-227x-5-9","relation":{},"ISSN":["1471-227X"],"issn-type":[{"value":"1471-227X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,10,14]]},"assertion":[{"value":"1 July 2005","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 October 2005","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 October 2005","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"9"}}