title: Slow progressive popliteal artery insufficiency after neglected proximal tibial physeal fracture: a case report.
abstract: Popliteal artery injury is most commonly associated with high-energy trauma, which is easily diagnosed upon initial physical examination. However, in some situations, the diagnosis of arterial injury is delayed because of slow progression of arterial insufficiency, which may lead to limb amputation. We report a rare case of popliteal arterial occlusion with the presence of arterial pulses during initial assessment, resulting from a neglected proximal ibial physis fracture. This case shows that even in the presence of foot pulses, the surgeon must consider the possibility of a popliteal artery damage whenever trauma is seen near the knee joint.
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University.
authors.forename: Rikuo
authors.initials: R
authors.lastname: Shinomiya
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University.
authors.forename: Toru
authors.initials: T
authors.lastname: Sunagawa
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Nakashima
authors.affiliation: Department of Orthopaedic Surgery, Hiroshima Kyoritsu Hospital, Hiroshima, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Nakabayashi
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University.
authors.forename: Manami
authors.initials: M
authors.lastname: Makitsubo
authors.affiliation: Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University.
authors.forename: Nobuo
authors.initials: N
authors.lastname: Adachi
mesh_terms: D000293:Adolescent; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D001265:Athletic Injuries / Q000150:complications; D005260:Female; D006801:Humans; D011150:Popliteal Artery / Q000293:injuries*; D013978:Tibial Fractures / Q000150:complications*; D057772:Vascular System Injuries / Q000209:etiology*