Hidden dangers: the radiologist's role in diagnosing arterial injuries after orthopaedic surgery of the lower limb.

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Emergency Radiology Pub Date : 2025-10-09 DOI:10.1007/s10140-025-02392-9

Emanuele Barabino, Marta Verda, Michele Tosques, Arianna Nivolli, Giulia Pittaluga, Giulio Bovio, Diego Ivaldi, Francesca Lacelli, Giuseppe Cittadini

引用次数: 0

Abstract

Orthopedic surgery is the most common intervention performed on the lower limb. Although rare (0.005-0.5%), the incidence of iatrogenic arterial injuries is increasing due to the rising use of prosthetic implants and broader surgical indications in aging populations. Imaging findings are diverse and include hemorrhage, pseudoaneurysm, hemarthrosis, endomedullary bleeding, retraction-induced microvascular injury, stenosis, and occlusion. However, evaluation is often complicated by artifacts from metallic hardware. This pictorial review illustrates the radiological spectrum of these injuries, offers practical tips to optimize imaging quality, and proposes a structured algorithm to guide timely and effective diagnosis and management.

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隐患：放射科医生在下肢骨科手术后动脉损伤诊断中的作用。

骨科手术是对下肢进行的最常见的干预。虽然罕见（0.005-0.5%），但由于假体植入物的使用增加和老年人群手术适应症的扩大，医源性动脉损伤的发生率正在增加。影像学表现多样，包括出血、假性动脉瘤、关节出血、髓内出血、牵拉引起的微血管损伤、狭窄和闭塞。然而，来自金属硬件的工件往往使评估变得复杂。这篇图片综述说明了这些损伤的放射谱，提供了优化成像质量的实用技巧，并提出了一个结构化的算法来指导及时有效的诊断和管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.60

自引率

4.50%

发文量

期刊介绍： To advance and improve the radiologic aspects of emergency careTo establish Emergency Radiology as an area of special interest in the field of diagnostic imagingTo improve methods of education in Emergency RadiologyTo provide, through formal meetings, a mechanism for presentation of scientific papers on various aspects of Emergency Radiology and continuing educationTo promote research in Emergency Radiology by clinical and basic science investigators, including residents and other traineesTo act as the resource body on Emergency Radiology for those interested in emergency patient care Members of the American Society of Emergency Radiology (ASER) receive the Emergency Radiology journal as a benefit of membership!