Please use this identifier to cite or link to this item: https://repository.monashhealth.org/monashhealthjspui/handle/1/52436
Title: Critical lower-limb ischemia and arterial thrombosis following intraarticular corticosteroid injection of the knee.
Authors: Evans H.;Ogunsanya N.;Yii M.;Bell R. 
Monash Health Department(s): Vascular and Transplantation Surgery
Institution: (Evans, Ogunsanya, Yii, Bell) Department Vascular Surgery, Monash Health, Melbourne, Australia
Issue Date: 5-Sep-2024
Copyright year: 2024
Publisher: Lippincott Williams and Wilkins
Place of publication: United States
Publication information: Clinical Journal of Sport Medicine. 34(6) (pp 624-627), 2024. Date of Publication: 01 Nov 2024.
Journal: Clinical Journal of Sport Medicine
Abstract: We present a case of acute lower-limb arterial thrombosis following intra-articular steroid injection into the knee of a previously fit and active 41-year-old man. Symptoms of acute limb ischemia developed within 24 hours of treatment. Objective assessment with ultrasound arterial duplex and CT angiogram of the lower limb confirmed acute thrombosis of the popliteal artery in the treated leg. Although there is documented evidence of the association between steroid therapy and venous thromboembolic phenomena, there are no cases of arterial thrombosis in the literature. The temporal series of events that we report strongly suggest an association between the corticosteroid injection and the acute thrombotic event, the mechanism of which remains unclear. The patient underwent successful revascularization. It is important to document and disseminate this seemingly rare complication of a commonly associated procedure to increase awareness, invoke caution, and invite others to share similar cases.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
DOI: http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1097/JSM.0000000000001269
PubMed URL: 39212482 [https://www.ncbi.nlm.nih.gov/pubmed/?term=39212482]
URI: https://repository.monashhealth.org/monashhealthjspui/handle/1/52436
Type: Article
Subjects: artery thrombosis
leg ischemia
middle osteoarthritis
peripheral vascular disease
popliteal artery
revascularization
steroid therapy
surgery
thromboembolism
Type of Clinical Study or Trial: Case series or case report
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