Abstract
Penetrating and blunt trauma to the plantar aspect of the foot are common. Both penetrating
and blunt trauma may be associated with an injury to the blood vessels, which may
go undetected clinically. A minor puncture, blunt trauma and repeated blunt trauma
can injure small arteries leading to an arteriovenous fistula (AVF). The arterial
rupture leads to a system of veins creating a small AVF and appearing clinically as
a blue colored, painful lesion. A case of such an injury is presented where the clinical
examination, magnetic resonance arteriogram and point of service ultrasound with duplex
imaging was used to diagnose the AVF. The AVF was treated in the clinic with a percutaneous
ultrasound-guided laser procedure. The laser procedure was effective and there was
minimal post procedural morbidity.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: September 18, 2021
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
Published by Elsevier Inc. on behalf of the American College of Foot and Ankle Surgeons.
