Korean J Sports Med.  2012 Jun;30(1):68-71. 10.5763/kjsm.2012.30.1.68.

Pseudoaneurysm of the Lateral Inferior Genicular Artery after Arthroscopic Partial Meniscectomy of Lateral Meniscus: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea. yjkim1@wonkwang.ac.kr
  • 2So-mang Orthopedic Clinic, Gunsan, Korea.
  • 3Department of Pharmacy, Rutgers University, Newjersey, USA.

Abstract

Arthroscopic meniscectomy of the knee is generally a safe and effective procedure with a low rate of vascular complications. The authors encountered a case of a pseudoaneurysm of the lateral inferior genicular artery after arthroscopic partial meniscectomy of lateral meniscus. The pseudoaneurysm was treated successfully using transcatheter embolization. No recurrence of the hemarthrosis was observed in the patient after a follow-up of 2 years.

Keyword

Pseudoaneurysm; Lateral inferior genicular artery; Embolization

MeSH Terms

Aneurysm, False
Arteries
Follow-Up Studies
Hemarthrosis
Humans
Knee
Menisci, Tibial
Recurrence

Figure

  • Fig. 1 (A) Magnetic resonance imaging reveals a transverse tear of lateral meniscus. (B) Arthroscopic view of preoperative finding. (C) Arthroscopic view of postoperative finding.

  • Fig. 2 Angiography reveals a pseudoaneurysm of the lateral inferior geniculate artery. (A) Anteroposterior view. (B) Lateral view.

  • Fig. 3 There was no evidence a pseudoaneurysm after embolization.


Reference

1. Kim TK, Savino RM, McFarland EG, Cosgarea AJ. Neurovascular complications of knee arthroscopy. Am J Sports Med. 2002. 30:619–629.
2. Small NC. Complications in arthroscopy: the knee and other joints. Committee on Complications of the Arthroscopy Association of North America. Arthroscopy. 1986. 2:253–258.
3. Kim YJ, Kim TK, Yang HD, Kim HJ, Shim SW. Anatomic localization of neurovascular bundle at the level of the Korean knee joint: a magnetic resonance imaging study year. J Korean Arthrosc Soc. 2008. 12:102–106.
4. Kim YJ, Yang JH, Chae SU, Lee JW. Popliteal artery pseudoaneurysm after arthroscopic posterior cruciate ligament reconstruction: a case report. Korean J Sports Med. 2011. 29:72–75.
5. Mello W, de Brito WE, Migon EZ, Borges A. Pseudoaneurysm of the medial inferior genicular artery after anterior cruciate ligament reconstruction. Arthroscopy. 2011. 27:442–445.
6. Tozzi A, Ferri E, Serrao E, Colonna M, De Marco P, Mangialardi N. Pseudoaneurysm of the descending genicular artery after arthroscopic meniscectomy: report of a case. J Trauma. 1996. 41:340–341.
7. Vincent GM, Stanish WD. False aneurysm after arthroscopic meniscectomy. A report of two cases. J Bone Joint Surg Am. 1990. 72:770–772.
8. Mufty S Jr, Smits P, Feyen J. Pseudoaneurysm of the superior medial genicular artery following knee arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2011. 19:1314–1315.
9. Milankov M, Ninkovic S, Stankovic M. False aneurysm following arthroscopic meniscectomy of the knee. Med Pregl. 2004. 57:289–291.
10. Lee KB, Song SY, Kwon DJ, Shin J, Paik SH. Pseudoaneurysm of the medial superior genicular artery after arthroscopic partial meniscectomy. Clin Orthop Surg. 2009. 1:173–175.
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