Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2018 | Month : August | Volume : 12 | Issue : 8 | Page : RD01 - RD03

Posterior Tibial Artery Injury with Intact Posterior Tibial Pulse: A Case Report

Kamalakumar Karuppasamy, Natarajan Shanmugam, Gunalan Kannaiyya Naidu, Surya Rao Rao Venkata Mahipathy, Narayanamurthy Sundaramurthy

1. Junior Resident, Department of Orthopaedics, Saveetha Medical College, Chennai, Tamil Nadu, India. 2. Professor, Department of Orthopaedics, Saveetha Medical College, Chennai, Tamil Nadu, India. 3. Assistant Professor, Department of Orthopaedics, Saveetha Medical College Chennai, Tamil Nadu, India. 4. Professor, Department of Plastic Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India. 5. Assistant Professor, Department of Plastic Surgery, Saveetha Medical College Chennai, Tamil Nadu, India.

Correspondence Address :
Dr. Kamalakumar Karuppasamy,
159-B, R.S.K.P Road, Puliangudi, Tamil Nadu, India.
E-mail: dr.kamalakumar@gmail.com

Abstract

The presence of distal pulses can be misleading and the presence of good vascularity to the affected part may be unrelated to the possibility of a vascular injury in orthopaedic trauma to the affected part. We report a case of Grade II open fracture of Proximal Tibia with Posterior Tibial Artery (PTA) tear. The case being presented came with an intact PTA pulsations clinically and with good vascularity to the lower limb, with no difference in the pulse rate between radial and posterior tibial pulse rate and no underlying bruits. The underlying PTA tear was found only incidentally on operating when the patient was taken up for open reduction with internal fixation with proximal tibial locking plate surgical procedure and the fracture site was opened. Arterial injuries following trauma may be missed without liberal use of arterial Arteriograms and Doppler study, unless looked for with a high degree of suspicion. If the arterial tear is identified early, patient and his limb can be saved without much morbidity to the patient, though diagnosing the injury is the hard part. Presence of intact and good peripheral pulses is not a sole criteria to rule out underlying vascular injury following orthopaedic trauma.

Keywords

Intact arterial pulse post injury, Limb ischaemia, Vascular injury

How to cite this article :

Kamalakumar Karuppasamy, Natarajan Shanmugam, Gunalan Kannaiyya Naidu, Surya Rao Rao Venkata Mahipathy, Narayanamurthy Sundaramurthy. POSTERIOR TIBIAL ARTERY INJURY WITH INTACT POSTERIOR TIBIAL PULSE: A CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Jul 18 ]; 12:RD01-RD03. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=August&volume=12&issue=8&page=RD01-RD03&id=11881

DOI and Others

DOI: 10.7860/JCDR/2018/34921.11881

Date of Submission: Dec 01, 2017
Date of Peer Review: Jan 30, 2018
Date of Acceptance: May 19, 2018
Date of Publishing: Aug 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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