{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:46Z","timestamp":1787755366483,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 29-year-old woman presented with a low-energy, minimally displaced pilon fracture with progressive pain and paresthesias in the affected foot, ultimately requiring open reduction and internal fixation. Intraoperatively, the deep peroneal nerve and anterior tibial artery and vein were entrapped within the fracture. After freeing the bundle and fixing the fracture, the paresthesias improved and ultimately resolved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Injury to the anterior leg compartment neurovascular structures should be considered in low-energy, minimally displaced pilon fractures. In this instance, progressive neurologic symptoms not consistent with the radiographic findings indicated the patient for surgical exploration and fixation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00647","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T14:12:15Z","timestamp":1642687935000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Anterior Compartment Neurovascular Bundle Entrapment in a Minimally Displaced Distal Tibial Fracture"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2666-8327","authenticated-orcid":false,"given":"Andrew D.","family":"Lachance","sequence":"first","affiliation":[{"name":"Tufts University School of Medicine, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3996-8716","authenticated-orcid":false,"given":"Margaret V.","family":"Shields","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Tufts Medical Center, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4556-2587","authenticated-orcid":false,"given":"Scott P.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Tufts Medical Center, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/00003086-198405000-00032","article-title":"Bony entrapment of the superficial peroneal nerve","volume":"185","author":"Mino","year":"1984","journal-title":"Clin Orthop Relat Res."},{"issue":"19","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"e113","DOI":"10.2106\/JBJS.J.00842","article-title":"Deep peroneal nerve entrapment by a spiral fibular fracture: a case report","volume":"93","author":"Hey","year":"2011","journal-title":"J Bone Joint Surg."},{"issue":"12","key":"bib3-20240805","first-page":"1240","article-title":"Anterior tibial artery and deep peroneal nerve entrapment in spiral distal third tibia fracture","volume":"31","author":"Miki","year":"2008","journal-title":"Orthopedics."},{"issue":"4","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1007\/s00256-015-2259-5","article-title":"Entrapment of the deep peroneal nerve and anterior tibial vessels by a spiral tibial fracture causing partial non-union: a case report","volume":"45","author":"Tan","year":"2016","journal-title":"Skeletal Radiol."},{"issue":"3","key":"bib5-20240805","first-page":"1","article-title":"An unexpected intra-operative encounter of anterior tibial vessels entrapment in the fracture of tibial pilon: a case report and literature review","volume":"55","author":"Mishra","year":"2020","journal-title":"Indian J Orthop."},{"issue":"3","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1053\/j.jfas.2011.11.005","article-title":"Anatomic description of the distal tibia: implications for internal fixation","volume":"51","author":"Ali","year":"2012","journal-title":"J foot Ankle Surg."},{"issue":"6","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1097\/BOT.0b013e31817614b2","article-title":"The distal approach for anterolateral plate fixation of the tibia: an anatomic study","volume":"22","author":"Wolinsky","year":"2008","journal-title":"J Orthop Trauma."},{"issue":"5","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"313","DOI":"10.55095\/achot2014\/042","article-title":"The risk of neurovascular injury in minimally invasive plate osteosynthesis (MIPO) when using a distal tibia anterolateral plate: a cadaver study","volume":"81","author":"Lidder","year":"2014","journal-title":"Acta Chir Orthop Traumatol Cech."},{"issue":"1","key":"bib9-20240805","first-page":"RC01","article-title":"A prospective study on functional outcome of internal fixation of tibial pilon fractures with locking plate using minimally invasive plate osteosynthesis technique","volume":"10","author":"Ballal","year":"2016","journal-title":"J Clin Diagn Res."},{"issue":"7","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"e152","DOI":"10.1097\/BOT.0b013e318288a7e9","article-title":"The pilon map: fracture lines and comminution zones in OTA\/AO type 43C3 pilon fractures","volume":"27","author":"Cole","year":"2013","journal-title":"J Orthop Trauma."},{"issue":"4","key":"bib11-20240805","first-page":"432","article-title":"Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications","volume":"77","author":"Mauffrey","year":"2011","journal-title":"Acta Orthopaedica Belgica."},{"key":"bib12-20240805","first-page":"607","article-title":"Treatment of closed tibial fractures","volume":"52","author":"Schmidt","year":"2003","journal-title":"Instr Course Lect."},{"issue":"5","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1302\/0301-620X.87B5.15982","article-title":"Anatomy of pilon fractures of the distal tibia","volume":"87","author":"Topliss","year":"2005","journal-title":"J Bone Joint Surg Br Volume."},{"issue":"11","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1097\/BOT.0000000000000658","article-title":"Computed tomography assessment of peroneal tendon displacement and posteromedial structure entrapment in pilon fractures","volume":"30","author":"Fokin","year":"2016","journal-title":"J Orthop Trauma."},{"issue":"9","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1097\/BOT.0000000000000046","article-title":"Entrapped posteromedial structures in pilon fractures","volume":"28","author":"Eastman","year":"2014","journal-title":"J Orthop Trauma."},{"issue":"12","key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1111\/j.1742-1241.1988.tb08649.x","article-title":"Infected aneurysm of the anterior tibial artery","volume":"42","author":"Payne-James","year":"1988","journal-title":"Br J Clin Pract."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00647","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:58Z","timestamp":1787751718000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00647"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00647","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}