Shank vessel injuries: The forgotten vascular injuries

E. Stuebing, H. Lieberman, T. Vu, F. N. Mazzini, L. De Gregorio, A. Gigena, E. Iglesias, R. Gonzalo, A. J. Perez-Alonso, J. A. Asensio

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


Introduction: Vascular injuries in branch vessels of the popliteal artery, such as the tibioperoneal trunk, and shank vessels, such as anterior, posterior tibial, and peroneal vessels, occur in both blunt and penetrating trauma. Their management has evolved significantly in the past few decades. While their incidence is variable, limb loss and morbidity remain significant. Material and methods: Physical examination, along with measuring an Ankle-Brachial Index (ABI), is still sometimes all that is required for diagnosis and can expeditiously triage those that require urgent operation. Despite our technological advancements and newer algorithms for lower extremity vascular trauma, operative intervention and exposure still remain difficult and pose a great challenge for surgeons that normally do not operate on this area. Conclusions: Shank vessel injuries still comprise a significant proportion of combat and civilian vascular injuries, and modern advances have led to a dramatic decrease in amputation rates.

Original languageEnglish (US)
Pages (from-to)393-401
Number of pages9
JournalEuropean Journal of Trauma and Emergency Surgery
Issue number4
StatePublished - Sep 1 2012
Externally publishedYes


  • Acute treatment
  • Diagnosis
  • Shank vessels
  • Vascular trauma

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine


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