Zusammenfassung
Dargestellt wird der seltene Fall eines Aneurysma spurium der Art. genus lat. inf. nach erfolgter Arthroskopie des Kniegelenks. Abgesehen von einer pulssynchronen Schwellung in großer Nähe zum ehemaligen anterolateralen Portal bestanden keine weiteren Beschwerden, insbesondere auch keine Schmerzen. Die diagnostischen und therapeutischen Strategien – im vorliegenden Fall mit Coiling des betroffenen Gefäßes – werden dargestellt und diskutiert.
Abstract
We present the rare case of a false aneurysm of the genus lat which occurred after knee arthroscopy. Apart from a pulse-synchronic swelling in close proximity to the former anterolateral portal there were no complaints and no pain. The diagnostic and therapeutic strategies – in this case performed with coiling of the involved vessel – are presented and discussed.
Schlüsselwörter
Kniegelenk - Arthroskopie - Aneurysma spurium - Diagnostik - Therapie
Key words
knee joint - arthroscopy - false aneurysm - diagnosis - therapy
Literatur
-
1
Small N C.
Complication in arthroscopic surgery performed by experienced arthroscopists.
Arthroscopy.
1988;
4
216-221
-
2
DeLee J.
Complications of arthroscopy and arthroscopic surgery: Results of a national survey.
Arthroscopy.
1985;
4
214-220
-
3
Kelm J, Ames M, Schmitt E.
Iatrogenious arteriovenous fistula: rare complication after knee arthroscopy.
Chirurg.
1999;
70
1174-1176
-
4
Jimenez F, Utrilla A, Cuesta C et al.
Popliteal artery and venous aneurysm as a complication of arthroscopic meniscectomy.
J Trauma.
1988;
28 (9)
1404-1405
-
5
Carr J B, Jansson K A.
An unusual case of vascular dysplasia related to knee arthroscopy.
Arthroscopy.
2001;
17 (2)
196-199
-
6
Verma R, Seymour R, Hockings M.
Endovascular coil embolization of pseudoaneurysm of a branch of the anterior tibial artery following total knee replacement.
J Knee Surg.
2009;
22 (3)
269-271
-
7
Sadat U, Naik J, Verma P et al.
Endovascular management of pseudoaneurysms following lower limb orthopedic surgery.
Am J Orthop.
2008;
37 (5)
E99-E102
-
8
Lee K B, Song S Y, Kwon D J et al.
Pseudoaneurysm of the Medial Superior Genicular Artery after Arthroscopic Partial Meniscectomy.
Clin Orthop Surg.
2009;
1
173-175
-
9
Tisi P V, Callam M J.
Treatment for femoral pseudoaneurysms.
Cochrane Database Syst Rev.
2009;
2
CD004981
-
10
Imsand D, Hayoz D.
Current treatment options of femoral pseudoaneurysms.
Vasa.
2007;
36 (2)
91-95
-
11
Hanson J M, Atri M, Power N.
Ultrasound-guided thrombin injection of iatrogenic groin pseudoaneurysm: Doppler features and technical tips.
Br J Radiol.
2008;
81 (962)
154-163
Prof. Dr. B. Schmidt-Rohlfing
Klinik f. Orthopädie und Unfallchirurgie, Siloah-St. Trudpert-Klinikum
Wilferdinger Str. 67
75179 Pforzheim
Email: b.schmidt-rohlfing@siloah.de