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 |
Appears in Collections: | Articles |
Show full item record
Items in Monash Health Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.