Abstract
False aneurysm or pseudo aneurysm of an artery in close proximity to fractured bone is a well-recognized entity, and fewer various cases, involving different sites have been reported in the literature. We report new case of a Moroccan's patient who had 10-year-old boy presented with a right non displaced both-bone forearm fracture; the patient was placed in a long arm splint. After, six weeks, the cast was removed. And a pulsatile mass on the volar-radial aspect of the forearm was decouvred. The mass was non-tender and the patient had radial and ulnar pulse. An Ultrasound and brachial angiography showed a false aneurysm of distal radial and the radial artery was ligated.In conclusion, pseudoaneurysm of the radial artery can be associated with any bone fracture despite non displacing fractures related to the elasticity of the bone in this age and orthopedic surgeons should be aware of this potential complication.
Highlights
The most common causes of radial pseudo aneurysm in children and adolescents are penetrating trauma and iatrogenic arterial injury
We report the case of a patient with false aneurysm of the Radial Artery after a both-bone forearm fracture
A pseudoaneurysm of an arterial vessel occurs after a fullthickness laceration from either blunt or penetrating trauma, from lacerations, or from complications arising from fracture fixation plates [1,2,3,6,9]
Summary
The most common causes of radial pseudo aneurysm in children and adolescents are penetrating trauma and iatrogenic arterial injury. False aneurysm or pseudo aneurysm of the artery in close proximity to the fractured bone is a well-recognized case, and a few other cases, involving different locations have been reported in literature [1,2,3,4,5]. We report the case of a patient with false aneurysm of the Radial Artery after a both-bone forearm fracture. This article presents a case of a non displaced both-bone forearm fracture in a child treated with a cast. Plain radiographs of the forearm (Figure 1) demonstrated a non-displaced both-bone radius and ulnar fracture and the patient's arm was placed in a long arm splint. The forearm and mass were non-tender and the patient had radial and ulnar pulse. PpFliagcinuerdreabd1oiothgr-bapohnseorfadthiuesfaonrdeaurlmnadrefrmaoctnusrterated a non-disPlain radiographs of the forearm demonstrated a non-displaced both-bone radius and ulnar fracture. The mass was directly volar to the radial artery and extended into the subperiosteal tissues. Gery, the patient remains symptom free with normal growth and function of the hand
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