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Related Experiment Video

Updated: Mar 18, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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Arteriovenous Fistula Development After Posterior Compartment Fasciotomy to Treat Shin Splints.

J J Marotta, J C Richmond

    The Physician and Sportsmedicine
    |July 13, 2016
    PubMed
    Summary

    A distance runner developed an arteriovenous fistula after shin splint surgery. This rare complication required further treatment, impacting his athletic performance and highlighting the need for preventative measures.

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    Area of Science:

    • Sports Medicine
    • Vascular Surgery
    • Running Injuries

    Background:

    • Shin splints are common in runners, often treated with surgical release of the deep posterior fascial compartment.
    • Unusual complications following this procedure are rarely reported.
    • Arteriovenous fistulas are abnormal connections between arteries and veins.

    Purpose of the Study:

    • To report a rare case of arteriovenous fistula following surgical treatment for shin splints.
    • To discuss the potential causes and prevention of this complication.
    • To highlight the importance of considering vascular complications in persistent leg pain after surgery.

    Main Methods:

    • Case report of a distance runner treated for shin splints.
    • Surgical release of the deep posterior fascial compartment.
    • Diagnosis of arteriovenous fistula via arteriogram.
    • Treatment with resection and neurolysis of the saphenous nerve.

    Main Results:

    • The patient experienced erythema, swelling, and pain post-surgery.
    • An arteriogram revealed an arteriovenous fistula six months later.
    • Surgical treatment improved symptoms but did not restore full athletic performance.

    Conclusions:

    • Arteriovenous fistula is a rare but significant complication after deep posterior fascial compartment release for shin splints.
    • Early recognition and appropriate vascular imaging are crucial for diagnosis.
    • Preventative strategies should be considered to minimize the risk of such complications in athletes.